<%@ Language=VBScript %> 9/11 Environmental Action Contact Page
9/11 ENVIRONMENTAL ACTION

Google  
       DEMANDS    CLEANUP NOW !!!!!   NOT COVERUP  !!!!!
•  Home
•  About Us
•  Take Action
•  How to Help
   NEW!!!   Now on-line:
   •  MAKE A DONATION!
 
•  Working for Transparency & PublicProcess
 
•  Community Action and the WTC Expert Panel
 
•  WTC CLC (WTC Community/Labor Coalition)
 
•  Safety First Demolition & Rebuilding
 
•  The Latest on Health & the WTC Health Registry
 
•  9/11 WTC Lawsuits
 
•  WTC Related Press
   •  Subscribe to to N&A, 9/11 EA's bulletin

•  NEW!!!  Katrina

•  Our Electeds & Others Speak Out
 
•  Early Government Responses
 
•  More Resources
•  Dramatic Pictures
•  Photo Album
•  Street Art
 
•  Contact Us !!
 

(Page last updated June 5, 2006)

Please get in touch with us:

9/11 Environmental Action
P.O. Box 250192
New York, NY 10025

 

(Press Requests only:  press@911ea.org)

By e-mail: info@911ea.org

Subscribe to our mailing list:
News&Alerts

Perhaps you could take a few minutes to fill out and submit this form -- but not until after we fix it!!  In the meantime, copy and paste the form into an e-mail, with any of the information  that you are comfortable answering.  If you don't have access to a computer, ask a friend to let us know, so we can send you a copy to fill out.  Send it to:

Info@911ea.org

(Lots of questions, we know.  But they are designed to help us understand your story... And most of them are optional...    And the information will be kept confidential.)


The last question asks if you endorse our March 2005 Declaration.  Click here if you want another look first.

 

Thanks!

 

[FrontPage Save Results Component]
First Name & MI:
Last Name:
Reach Info
Email Address 1:
Email Address 2:
Phones (or more email)
Description Number
Home Address
Address:
City, State, Zip: ,  
Work Address
Company:
Address:
City, State, Zip: ,  
Personal Experience
Did you work in the Disaster Area on 9/11?
Did you live in the Disaster Area on 9/11?
Did you work in the Disaster Area after 9/11?
If so to the above, for how long?
Did you live in the Disaster Area after 9/11?

If so to the above, for how long?
Are you not in the affected area,
but know people who are, were, or might be,
and are you concerned about them?
Explanatory Comments, if any,
for the above 7 
Personal Experience questions:
Post-9/11 Health Questions
Personal (Health) Impact:
Headaches: Nightmares?
Coughing: Anxiety?
Asthma: Problems shaking illnesses?
Respiratory (other): Post Traumatic Stress Disorder?
Problems Concentrating: On Work?
Anything else?
 Initial Exposure:
Please explain, in terms of hours per day,
your exposure to the debris, the cloud,
and the fires.

and/or your experience with EPA clean-up(was it a clean-up?)
Other Exposure:
Please explain, in terms of hours per day,
your exposure to the debris, the cloud,
and the fires.
Cleaning
Do you know whether the area you live or work in has been tested?
If it has been tested, can you identify who performed, or payed for the testing and when?
Do you have any test results,
(and are you willing) to share them with us?
If you live(d) in the affected area, was your residence cleaned by licensed hazardous materials professionals? when?    
If you live(d) in the area, do you know if your space was cleaned by the EPA in its 2002-2003 cleanup?
Is more cleaning necessary?
If you work/worked in the affected area, was your work area cleaned by licensed hazardous materials professionals? when?    
Is more cleaning necessary?
Are you familiar with the EPA's Nov. 30, 2005 Test & Clean Plan?
Anything else you'd like to add?:
Are you interested in working with 9/11 EA to achieve its goals?...
(See our March 2005 Declaration)

Back to Home Page...