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Thank you for participating in PROJECT PREVENT COLLISION! PROJECT PREVENT COLLISION includes a brief internet survey that will take approximately 10 minutes. After submitting the internet survey, we then ask you to participate in a more detailed study that will take about three hours of time spread over a four-week period.

First name:
Last name: 
Address:     
City:            
State:          
Zip:             

What is the population of your city or town?



How would you describe the neighborhood within one half mile surrounding your home in terms of housing density?




How many stories is your house?



How many square feet is the house (not including the basement)?

How many windows are found on each side of your house?

North




South





East




West




Estimate the percent of surface area covered by windows on each side of your house:

North




South




How many birds collide with windows (whether the birds died or not) on each side of your house on a yearly basis?

North




South





East




West




How many years have you resided at this house?

Comments about bird-window collisions occurring at your house:

Thank you for completing the PROJECT PREVENT COLLISION internet survey. After clicking on the submit button below your information will be saved, and you will be invited to participate in a more detailed study of bird-window collisions at your home.

PROJECT PREVENT COLLISION | (217) 424 - 6392 | dhorn@millikin.edu