Living with Danger

SURVEY FORM

 If you live in a dangerous habitat, please complete this form:

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1.

In which kind of habitat do you live?  

2.

Why did you decide to live here?
(you may choose more than one)

I could find no other place  
I could afford no other place 
I like living dangerously 
It is the most pleasant part of town 
Another reason 
 
3. Do you think that you are in danger from your habitat?
 

 Yes       No    

4. Would you like to move away from your present location because of the danger?
 

Yes       No 

5. If you answered "No" to the previous question, why do you not want to move?
 

I cannot afford to move 
I have lived here all my life 
I live near my work 
I love this community 
Another reason