If this home is in a building with other dwelling units, what common areas in the building are used by children? 7. (a) Which entrance is used most frequently? (b) What other entrances are used frequently? Which windows are opened most frequently? (a) Do you use window air conditioners?* Yes No (b) If yes, where? □ □ *Condensation underneath window air conditioners often causes paint deterioration. (a) Do you or any other household members garden? Yes No □ □ (b) If yes, where is the garden? (a) Are you planning any landscaping activities that will remove or ground covering? □Yes □No (b) If yes, (a) Which areas of the home get cleaned regularly? (b) areas of the home do not get cleaned regularly? (a) Are any household members exposed to lead at work? Yes No □ □ [If no, go to question 14.] (b) If yes, are dirty work clothes brought home? Yes No □ □ (c) If they are brought home, who handles are work clothes and where they placed and cleaned? (a) Do you have pets? Yes No □ □ (b) If yes, do these pets go outdoors? Building Renovations (a) Were any building renovations or repainting done here during the past year? Yes No □ □ (b) If yes, what work was done, and when? (c) Were carpets, furniture and/or family belongings present in the work areas? Yes No □ □ (d) If yes, which items and where were they? (e) Was construction debris stored in the yard? Yes No □ □ (f) If yes, please describe what, where and how was it stored. 16. (a) Are you conducting or planning any building renovations? Yes No □ □ (b) If yes, what work will be done, and when?
If this home is in a building with other dwelling units, what common areas in the building are used by children? 7. (a) Which entrance is used most frequently? (b) What other entrances are used frequently? Which windows are opened most frequently? (a) Do you use window air conditioners?* □ Yes □ No (b) If yes, where? *Condensation underneath window air conditioners often causes paint deterioration. (a) Do you or any other household members garden? □ Yes □ No (b) If yes, where is the garden? (a) Are you planning any landscaping activities that will remove or ground covering? □Yes □No (b) If yes, (a) Which areas of the home get cleaned regularly? (b) areas of the home do not get cleaned regularly? (a) Are any household members exposed to lead at work? □ Yes □ No [If no, go to question 14.] (b) If yes, are dirty work clothes brought home? □ Yes □ No (c) If they are brought home, who handles are work clothes and where they placed and cleaned? (a) Do you have pets? □ Yes □ No (b) If yes, do these pets go outdoors? Building Renovations (a) Were any building renovations or repainting done here during the past year? □ Yes □ No (b) If yes, what work was done, and when? (c) Were carpets, furniture and/or family belongings present in the work areas? □ Yes □ No (d) If yes, which items and where were they? (e) Was construction debris stored in the yard? □ Yes □ No (f) If yes, please describe what, where and how was it stored. 16. (a) Are you conducting or planning any building renovations? □ Yes □ No (b) If yes, what work will be done, and when?
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