
http://www.care2.com/greenliving/school-air-quality-survey.html
School Air Quality Survey for Students
by Healthy Schools Network, Inc..
Health and learning problems triggered by poor indoor air quality in schools can vary. It is vital that the student, backed up by a health care professional, work with the facility director in analyzing patterns that may provide clues to the link with indoor air pollution.
A diary or log of symptoms correlated with time and place may prove helpful. Following are some excerpts from the Healthy Schools Network’s survey. For the full questionnaire, with all 11 carefully researched and presented questions, see Shop for Green Guides, below.
School Air Quality Survey for Students
- Which school do you or your child attend?_______________
___Room numbers (s) or floors of classes
___How long attending this school?
- Air Quality Complaints: Yes_____ No_____
___Temperature too cold
___Temperature too hot
___Lack of air circulation
___Noticeable odors
___Disturbing noises
Other (specify)__________
- Health Problems or symptoms:
___Aching Joints
___Discolored Skin
___Dizziness
___Hearing Disturbances
___Sneezing
___Skin irritation, itching
___Headaches
___Nausea
___Irritability
___Respiratory problems
___Numbness
___Chest tightness
___Hoarseness
___Fatigue/drowsiness/weakness
___Back pain
___Problems with contact lenses
___Heartburn
___Throat sore or dry
___Sinus congestion
___Dry, flaking skin
___Concentration Difficulties
___Eye irritation or burning
___Muscle twitching
Other health problems or symptoms (Specify)____________
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