1. What part of Elkhart County do you live in?
Elkhart
Goshen
Bristol
Nappanee
Wakarusa
Middlebury
Millersburg
Unincorporated area of Elkhart County (or: other part of Elkhart County)
Outside Elkhart County

2. In an effort to understand if we are reaching our target audience, we would like to know which description best fits you:
Teacher/Educator
Student
Construction/Development
Other Business affected by stormwater regulations
Government Employee affected by stormwater regulations
Concerned Citizen

3. Do you live in a watershed?
Yes
No
Don't know

4. Which of the following pollutants can be found in stormwater runoff?
Sediment
Bacteria
Nutrients
Heat
Oil and Grease
All of the Above

5. Where would you find this marker?
	Next to a storm drain In a corn field Next to a sanitary sewer manhole None of the above

6. Which is an example of stormwater runoff?
Rainwater running into a storm drain in the road
Rainwater running off of a farm field
Snowmelt running into storm drains or ditches
All of the above
A & C only

7. A BMP is a Best Management Practice to reduce the impact of stormwater runoff. Please mark the best location for each BMP listed below:

8. Which of the following do you think are safe to let run into a storm sewer?

9. All storm drains flow to a treatment plant where the stormwater is treated before it goes into a river or stream.
True
False

10. I need to dispose of expired medicine and some old paint thinner. What is the best way to get rid of them?
Dump them down a storm drain
Flush them down the toilet
Put them in the trash
Take them to a Household Hazardous Waste drop-off location

11. If a home or business has a septic system, how often should the septic tank be pumped?
Never
Every 3 years
Every 10 years
Only when it backs up

12. Choose all of the following you have participated in over the past year:
River clean-ups
Adopt-a-road litter collection
Recycling
Volunteer water monitoring
Storm drain marking
Household Hazardous Waste drop-offs
Other: