Family Fire Safety Quiz

Mark the answer that best describes your housing situation best.

• Home Owner / Buyer
• Rent a Home
• Rent an Apartment
• Live with Relatives
• Other

Age Group

• Under 18
• 18 - 25
• 25 - 55
• 55-65
• 65 or older

# of Children living at home.

• 1-2
• 3-5
• 6 or more

Marital status.

• Married
• Single
• Divorced
• Widowed
• Other

Have you ever experienced a catastrophic home fire?

• Yes
• No

Do you feel that you have adequately working smoke detectors in your home?

• Yes
• No

Mark all type(s) of smoke detectors or fire detection that you have in your home?

Please select all that apply.

• Ionization
• Photo-electric
• Combo-Ionization/photo-electric
• Combo-Photo-electric/Heat
• Heat Alarms
• Other

Do you have fire extinguishers in your home?

• Yes
• No

Do your fire extinguishers have all-metal head or plastic?

• All-Metal
• Plastic

Do you have a Carbon Monoxide (CO) detector(s) in your home?

• Yes
• No

How many Parts Per Million (p.p.m.) is your CO detector rated for?

• Less than 50 p.p.m.
• 50 - 100 p.p.m.
• 100 - 200 p.p.m.
• 200 p.p.m. or higher

Do you have AND practice a fire escape plan for your home?

• Yes
• No

Have you ever received any formal CPR and/or First Aid training?

• Yes
• No

Do you feel it essential that every household or business have someone certified in CPR and/or First Aid?

• Yes
• No

Have you ever had your home tested for Radon Gas?

• Yes
• No

Are you aware that Radon Gas is the second leading cause of lung cancer?

• Yes
• No

Would you like a FREE, no obligation in-home/on-site CPR demonstration?

• Yes
• No

Would you like to receive a FREE Fire Safety Kit that includes new Duracell batteries?

• Yes
• No

Are you interested in having your home tested for Radon Gas for FREE?

• Yes
• No

What is the firefighters main job the night of your fire?

Please select all that apply.

• Rescue people from a burning building
• Fight the fire

What are your job(s) the night of your fire?

Please select all that apply.

• Get everyone and get out
• Call Emergency
• Fight the Fire
• Stop, Drop and roll
• Let the firefighters fight the fire

Would you be willing to watch a short video by ABC Primetime about home fire safety?

• Yes
• No