ShakeAlarm® Questionnaire

Please fill this questionnaire out to the best of your ability, and return it to shakealarm@weir-jones.com. All information will be kept in the strictest of confidence, and will only be used to improve public safety and ShakeAlarm® performance.

REQUIRED





 

OPTIONAL (ShakeAlarm® is a personalized service; knowing where you live helps our planning):





 

CURRENT SERVICE PROVIDERS

How many phones do you use?

Fiber Optic




Please list any “Smart Home” connected devices



Cable

Utilities at home (check any)


Water
Sewer

Propane Storage Tanks
Well
Septic

How do they get to school?

Commute method (check all applicable)