Fire Safe Seniors Installation Survey

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Fire Safe Seniors Installation Survey

We recently installed free smoke alarms in your home. We would like to ask you a few questions to help us determine the effectiveness of our service.

Directions: Please choose the answer that best represents how you feel.

Burn Institute Fire Safe Seniors Survey

  • (Example: May 2021)

    (By pressing the test button.)
    (This includes 2 ways out of every room, identifying an immediate safe meeting place and an emergency contact besides '911')

Please contact [email protected] with questions