Your Zip Code: __________________ Your Age: _____________

How long have you lived in Northeast Ohio? _________________

In what city or region do you
see the Cuyahoga River the most? ____________________________

At that location of the river, what is your opinion of the water quality?

Beautiful, no problems

Good, Minor Problems

Fair, Slight Impairment

Poor, Substantial Impairment

Total Impairment

In your opinion, how often could someone swim in the Cuyahoga River without risk of health?

What, if any, are your concerns about the water quality of the Cuyahoga River? __________________________________________

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