Home Fire Safety Protection Survey - Residential Home Fire Safety Equipment Products and Services Oahu Honolulu, Hawaii - Hero Fire Protection - Oahu Honolulu, Hawaii

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Home Fire Free Home Fire Safety Survey
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Flyer / Instructions
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QUICK 90 SECOND SURVEY
Once this survey is complete, qualified respondents will received an invitation to receive a FREE 167 Emergency Preparedness Kit by participating in our free onsite fire assessment program.

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Flyer / Instructions
Go To Survey

HERO QUICK 90 SECOND SURVEY

A * next to each field label means that an entry in this field is required.

Contact Information

First Name

Last Name

Phone (include area code)

E-mail Address

Survey Information

1. Check any of the dangers you are concerned about?

Home Fire

Carbon Monoxide

Flooding or water damage

Frozen Pipes

Home invasion or Burglary

2. How long do you have to escape a home fire?

10-13 Minutes

7-10 Minutes

4-6 Minutes

0-3 Minutes

3. Do you have smoke detectors in your home?

Yes

No

4. Where did you buy your smoke detectors from? (If applicable)

5. Do you have children, pets or both?

Children

Pets

Both

6. Married, living together or single?

Married

Living Together

Single

7. Your Occupation

8. Spouse occupation (if applicable)

9. Age range

Under 18

18-24

25-34

35-44

45-54

55-64

65+

10. Do you own or rent?

Own

Rent

11. Phone Contact information (If selected you may be contacted at # listed)

12. Who sent you this or whose social media post did you click on?

Comments

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