General Public Survey Form  

Name:  
Mailing Address:  
City  
State  Zip 
Email:  
Phone:  

 

1. Have you ever received information before relating to pipeline safety? 

 

2. Do you live near a gas pipeline?


3Have you ever called a pipeline company , 911 or anyone else to report suspicious activity near a pipeline? 

 


4.  Have you ever called your state One-Call center? 

 


5. Do you agree or disagree that Boardwalk does a good job informing people like you about pipeline safety? 

 

 

6. If you suspected a natural gas leak, you should:

 

 

7. Which of the following signs may indicate a pipeline leak:

 

 

8. You should notify Boardwalk if:

 

 

9. Please provide any additional comments about how we can improve our public education efforts?