About You

1. What zip code do you work / live in?

2. Which of these options best describes you?

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3. How long have you lived or worked in the area?

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Flooding from Rainfall and Storms

4. Indicate where you have seen flooding due to extreme rainfall or storms. Click Add Point or Draw Line in the top right corner of the map to draw on the map, or write the street intersections below where you have seen flooding due to extreme rainfall or storms.

Write the street intersections where you have seen flooding due to extreme rainfall or storms.

4.1 How often does flooding occur at this location?

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4.2 What have you experienced during these events?

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4.3 How long did it take for water to clear?

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Sewer Backups and Drainage System

5. Mark on the map or write the street intersections below where you have seen sewer back flows of water pooling.

Write the street intersections where you have seen sewer back flows of water pooling.

5.1 What have you experienced during these events? (lack of access, infrastructure issues, odor, etc)

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5.2 How long did it take for water to clear?

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Impacts on Daily Life

6. Have flooding or infrastructure issues caused any of the following impacts? (Select all that apply):

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7. During flooding events, are any of the following affected? (Select all that apply.)

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Utilities and Home/Building Impacts

8. Have you faced issues related to the following at home or your place of work? (Select all that apply.)

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General Feedback

9. Are there any other water/ infrastructure related issues that you have faced?

10. Is there anything else you would like to share with us?

Stay Involved

Please include your contact information. Be sure to click Save and Submit Survey below to submit your responses.

For updates and information on other opportunities to provide your input, please enter your email below (your information will not be shared with third parties). To be eligible for the $40 gift card drawing, participants must provide valid contact information.

First Name

Last Name

Email

Phone

Address

Zip

Please click Submit Survey below to submit your responses.