Citizen Interview Questionnaire for the Cabot Koppers Site

Name:_____________________________________________________________________________ Address: __________________________________________________________________________ Home Phone: ( ) ______________________ Cell Phone: ( ) _______________________ E-Mail Address: ____________________________________________ Date: __________________ Are you aware of the site?

How did you learn about the site?

Have you had concerns about the site in the past?

Do you have any current concerns about the site?

Have you had any contact with local, state, or federal agencies about the site?

Were you satisfied with the information provided?

Have you had any problems on your property that you think are attributable to site activities?

Have you been involved in any activities regarding the site?

If not, would you like to be involved in activities regarding the site?

How would you like to be informed concerning site activities (mail, e-mail, telephone, newspapers, television, and radio)?

May we have your permission to include your name and address on the site mailing list? If EPA were to have a public meeting or availability session, what day and time would be most convenient for you? Can you identify possible places for future public meetings?

Are there any additional questions that you have concerning the Site, suggestions, or comments that we should include in the Community Involvement Plan/Communication Strategy?