At approximately what time did you evacuate? ____:_____ AM PM Hour Min How did you evacuate? Ambulance Privately-owned vehicle Bus Other (Please specify): Is there any additional information that you think we should know about your exposure? Yes Record the information on the lines provided below No Continue to Question A7 Were you decontaminated, meaning your clothing was removed or your body was washed? Yes No Go to next module How were you decontaminated? Read all answer choices aloud to the respondent and check all that apply. Clothing Removal Water Soap and Water Other (Please specify): Where were you decontaminated? If respondent needs clarification, specify that this question is asking for a geographic location, not a place on their body. At approximately what time were you decontaminated? ____:_____ AM PM Hour Min
At approximately what time did you evacuate? ____:_____ AM PM Hour Min How did you evacuate? Ambulance Privately-owned vehicle Bus Other (Please specify): Is there any additional information that you think we should know about your exposure? Yes Record the information on the lines provided below No Continue to Question A7 Were you decontaminated, meaning your clothing was removed or your body was washed? Yes No Go to next module How were you decontaminated? Read all answer choices aloud to the respondent and check all that apply. Clothing Removal Water Soap and Water Other (Please specify): Where were you decontaminated? If respondent needs clarification, specify that this question is asking for a geographic location, not a place on their body. At approximately what time were you decontaminated? ____:_____ AM PM Hour Min