Prescribed Burn Survey

Prescribed Burn Survey

The goal of this survey is to gauge interest, curiosity and community support in efforts to form a Prescribed Burn Association (PBA) in the Ely, MN area. Estimated time to take survey ~3min
Name

First NameLast Name
Email or Phone #
example@example.com or (218) 555-5555
I am a ______?

LandownerConservation ProfessionalInterested Community Member
Are you interested in fire training?

YesNoMaybe
Do you have physical capabilities to burn? (Ask yourself: Can I lift, haul, chop, bend, squat, and run if needed?)

YesNoMaybe
Do you have fire insurance?

YesNoI prefer not to say
Do you have reservations about prescribed burning?

YesNo
If "yes", could you describe your thoughts and feelings around prescribed burning?
Are you familiar with Fire Wise?

YesNo
Have you had a Fire Wise assessment of your property?

YesNoI'm not a landowner
Have you had a prescribed burn on your property before?

YesNoI'm not a landowner
Do you have piles of brush on your property?

Yes and I want to properly burn themYes and I don't know what to do with themNo I do not have brush pilesI'm not a landowner
Do you have any tools (chainsaw, brush saw, lopper, etc.) that you can donate or lend to the Prescribed Burn Association?

YesNo
If "Yes", please describe the tools you can lend or donate to PBA
BONUS: What's your relationship with fire? Do you have a story you'd like to share about prescribed burning or fire?
If interested in prescribed burning on your property, please list your address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Any Additional Comments for the Organizers:
Thank you for taking our survey! We are excited to see you on Saturday, April 11th at 2:30-4:00pm for the Prescribed Burn Association Event :)
Should be Empty: