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You can upload them here. \",\"type\":\"control_fileupload\"},null,null,null,null,null,{\"name\":\"uniqueId\",\"qid\":\"114\",\"text\":\"Unique ID\",\"type\":\"control_autoincrement\"},null,{\"description\":\"\",\"name\":\"nameOneField\",\"qid\":\"116\",\"subLabel\":\"\",\"text\":\"Name\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"primary_field\",\"qid\":\"117\",\"subLabel\":\"\",\"text\":\"primary_field\",\"type\":\"control_textbox\"},{\"name\":\"input118\",\"qid\":\"118\",\"text\":\"Each year, tens of thousands of people across the United States die from air pollution. From residents of the country\u2019s largest sugar cane producing region in south central Florida to those in former uranium production hubs in New Mexico, people fear that the air they are breathing is unsafe. ProPublica has been working with these residents to test the air for toxins, from the fine particles that can emerge from burning crops like cane sugar to the cancer-causing gas radon that forms as uranium decays.\\r\\n\u00a0\\r\\nNow, we are turning to you to figure out where we should test next. Have you ever wanted to test the air in your home, workplace or school? What about the outdoor air surrounding these spaces? Have you actually done this testing yourself, or worked in air pollution monitoring our reporters should know about?\\r\\n\u00a0\\r\\nWe are launching with a focus on radon because of our ongoing project on former uranium processing sites, but are open to hearing about any other testing you are interested in.\",\"type\":\"control_text\"},{\"description\":\"\",\"name\":\"whichPublication\",\"qid\":\"119\",\"subLabel\":\"\",\"text\":\"Which publication?\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"whichForum\",\"qid\":\"120\",\"subLabel\":\"\",\"text\":\"Which forum, newsletter, blog or group?\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"doYou\",\"qid\":\"121\",\"subLabel\":\"\",\"text\":\"Do you have ideas for getting the word out?\u00a0 Who else should we talk to?\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"whoDo\",\"qid\":\"122\",\"text\":\"Who do you think is responsible for the environmental issues you are experiencing?\",\"type\":\"control_checkbox\"},{\"description\":\"\",\"name\":\"pleaseName\",\"qid\":\"123\",\"subLabel\":\"\",\"text\":\"Please name the specific entity or person you think is responsible:\",\"type\":\"control_textbox\"},{\"description\":\"These health issues could include problems like itchy eyes or throats, respiratory problems like asthma or any type of cancer.\",\"name\":\"haveYou\",\"qid\":\"124\",\"text\":\"Have you or anyone you lived with had health issues, or passed away from health issues, that you think could be related to this issue?\",\"type\":\"control_radio\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"pleaseTell\",\"qid\":\"125\",\"subLabel\":\"\",\"text\":\"Please tell us about these health conditions and the people affected in as much detail as you\u2019re comfortable with.\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"name\":\"whichRace\",\"qid\":\"126\",\"text\":\"Which race or ethnicity do you identify as? Select all that apply.\",\"type\":\"control_checkbox\"},{\"description\":\"\",\"name\":\"pleaseList\",\"qid\":\"127\",\"subLabel\":\"\",\"text\":\"Please list which race or ethnicity you identify as:\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"whichOf\",\"qid\":\"128\",\"text\":\"Which of the following applies to you? Select all that apply.\",\"type\":\"control_checkbox\"},null,{\"description\":\"\",\"name\":\"whereDid\",\"qid\":\"130\",\"subLabel\":\"Please provide the address, including the city and state.\",\"text\":\"Where did you do the testing?\",\"type\":\"control_textbox\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whyDid131\",\"qid\":\"131\",\"subLabel\":\"Questions you may want to consider: Do you live in a high-risk area? Does it have a disproportionately high number of lung cancer cases? Have previous tests returned high readings?\",\"text\":\"Why did you test for radon?\u00a0\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"name\":\"whatKind\",\"qid\":\"132\",\"text\":\"What kind of test did you use?\",\"type\":\"control_checkbox\"},{\"description\":\"The Environmental Protection Agency recommends households with an average of 4 pci\\u002FL of radon or above install mitigation systems to reduce radon levels. The World Health Organization suggests mitigation systems at 2.7 pCi\\u002FL or above.\",\"name\":\"whatRadon\",\"qid\":\"133\",\"text\":\"What radon levels did your testing show?\",\"type\":\"control_checkbox\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whatSteps\",\"qid\":\"134\",\"subLabel\":\"\",\"text\":\"What steps did you take, if any, after you received these results?\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whyAre\",\"qid\":\"135\",\"subLabel\":\"Questions you may want to consider: Do you live in a high-risk area? Does it have a disproportionately high number of lung cancer cases? Have previous tests returned high readings?\",\"text\":\"Why are you interested in testing for radon?\u00a0\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"name\":\"pleaseShare\",\"qid\":\"136\",\"subLabel\":\"Please include the city and state.\",\"text\":\"Please share the address of the site where you would like to test for radon. \",\"type\":\"control_textbox\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whatQuestions\",\"qid\":\"137\",\"subLabel\":\"\",\"text\":\"What questions do you have, if any, about radon in your space?\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whereDo138\",\"qid\":\"138\",\"subLabel\":\"\",\"text\":\"Where do you, or did you, work? Please provide your employer\u2019s name, the title(s) you held, your day-to-day responsibilities and how long you worked there.\u00a0\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whatWould\",\"qid\":\"139\",\"subLabel\":\"We are especially interested in learning about both the good and bad experiences with the radon regulatory process.\u00a0\",\"text\":\"What would you like to share?\u00a0\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"name\":\"whichAir\",\"qid\":\"140\",\"subLabel\":\"\",\"text\":\"Which air pollutant would you like to tell us about?\u00a0\",\"type\":\"control_textbox\"},null,{\"description\":\"\",\"mde\":\"No\",\"name\":\"whyAre142\",\"qid\":\"142\",\"subLabel\":\"Questions you may want to consider: Do you live in a high-risk area? Does it have a disproportionately high number of illnesses related to the air pollutant? Have previous tests returned high readings?\",\"text\":\"Why are you interested in this air pollutant? Please provide as much detail as you are comfortable with.\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"whatQuestions143\",\"qid\":\"143\",\"subLabel\":\"\",\"text\":\"What questions do you have, if any, about the air pollutant?\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"},{\"description\":\"\",\"mde\":\"No\",\"name\":\"propublicaSpecializes\",\"qid\":\"144\",\"subLabel\":\"Information about dates, locations or people involved are helpful as we follow up.\",\"text\":\"ProPublica specializes in investigative and accountability reporting. Is there anything else you would like to share or think we should know?\",\"type\":\"control_textarea\",\"wysiwyg\":\"Disable\"}]);}, 20); \n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" onsubmit=\"return typeof testSubmitFunction !== 'undefined' && testSubmitFunction();\" action=\"https:\/\/propublica.jotform.com\/submit\/231763305415148\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_231763305415148\" id=\"231763305415148\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"231763305415148\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><input type=\"hidden\" id=\"jsExecutionTracker\" name=\"jsExecutionTracker\" value=\"build-date-1709933170565\" \/><input type=\"hidden\" id=\"submitSource\" name=\"submitSource\" value=\"unknown\" \/><input type=\"hidden\" id=\"buildDate\" name=\"buildDate\" value=\"1709933170565\" \/>\r\n  <div role=\"main\" class=\"form-all\">\r\n    <ul class=\"form-section page-section\">\r\n      <li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-large\">\r\n          <div class=\"header-text httal htvam\">\r\n            <h1 id=\"header_1\" class=\"form-header\" data-component=\"header\">Worried about air quality? Tell us about it.<\/h1>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_118\">\r\n        <div id=\"cid_118\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div id=\"text_118\" class=\"form-html\" data-component=\"text\" tabindex=\"0\">\r\n            <p>Each year, tens of thousands of people across the United States die from air pollution. From residents of the country\u2019s largest sugar cane producing region in south central Florida to those in former uranium production hubs in New Mexico, people fear that the air they are breathing is unsafe. ProPublica has been working with these residents to test the air for toxins, from the fine particles that can emerge from burning crops like cane sugar to the cancer-causing gas radon that forms as uranium decays.<\/p>\r\n            <p>\u00a0<\/p>\r\n            <p>Now, we are turning to you to figure out where we should test next. Have you ever wanted to test the air in your home, workplace or school? What about the outdoor air surrounding these spaces? Have you actually done this testing yourself, or worked in air pollution monitoring our reporters should know about?<\/p>\r\n            <p>\u00a0<\/p>\r\n            <p>We are launching with a focus on radon because of our ongoing project on former uranium processing sites, but are open to hearing about any other testing you are interested in.<\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li id=\"cid_81\" class=\"form-input-wide\" data-type=\"control_head\">\r\n        <div class=\"form-header-group  header-default\">\r\n          <div class=\"header-text httal htvam\">\r\n            <h2 id=\"header_81\" class=\"form-header\" data-component=\"header\" aria-hidden=\"true\"><\/h2>\r\n            <div id=\"subHeader_81\" class=\"form-subHeader\">We appreciate you sharing your story and we take your privacy seriously. We are gathering these stories for the purposes of our reporting, and will contact you if we wish to publish any part of your story.<\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line always-hidden\" data-type=\"control_textbox\" id=\"id_117\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_117\" for=\"input_117\" aria-hidden=\"false\"> primary_field <\/label>\r\n        <div id=\"cid_117\" class=\"form-input-wide always-hidden\" data-layout=\"half\"> <input type=\"text\" id=\"input_117\" name=\"q117_primary_field\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_117\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_116\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_116\" for=\"input_116\" aria-hidden=\"false\"> Name<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_116\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <input type=\"text\" id=\"input_116\" name=\"q116_nameOneField\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_116\" required=\"\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_email\" id=\"id_4\"><label class=\"form-label form-label-top\" id=\"label_4\" for=\"input_4\" aria-hidden=\"false\"> Email<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_4\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_4\" name=\"q4_email\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_4 email\" style=\"width:310px\" size=\"310\" data-component=\"email\" aria-labelledby=\"label_4 sublabel_input_4\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_4\" id=\"sublabel_input_4\" style=\"min-height:13px\">example@example.com<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-line-column form-col-2\" data-type=\"control_phone\" id=\"id_57\"><label class=\"form-label form-label-top\" id=\"label_57\" for=\"input_57_full\"> Phone Number <\/label>\r\n        <div id=\"cid_57\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_57_full\" name=\"q57_phoneNumber[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_57 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_57\" value=\"\" \/><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_address\" id=\"id_83\" data-compound-hint=\",,,,Please Select,,Please Select,\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_83\" for=\"input_83_city\" aria-hidden=\"false\"> Where do you live? <\/label>\r\n        <div id=\"cid_83\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div summary=\"\" class=\"form-address-table jsTest-addressField\">\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_addr_line1\" name=\"q83_whereDo[addr_line1]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_83 off\" data-component=\"address_line_1\" aria-labelledby=\"label_83 sublabel_83_addr_line1\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_addr_line1\" id=\"sublabel_83_addr_line1\" style=\"min-height:13px\">Street Address<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_addr_line2\" name=\"q83_whereDo[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_83 off\" data-component=\"address_line_2\" aria-labelledby=\"label_83 sublabel_83_addr_line2\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_addr_line2\" id=\"sublabel_83_addr_line2\" style=\"min-height:13px\">Street Address Line 2<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_city\" name=\"q83_whereDo[city]\" class=\"form-textbox form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_83 address-level2\" data-component=\"city\" aria-labelledby=\"label_83 sublabel_83_city\" required=\"\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_city\" id=\"sublabel_83_city\" style=\"min-height:13px\">City<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown form-address-state\" name=\"q83_whereDo[state]\" id=\"input_83_state\" data-component=\"state\" required=\"\" aria-labelledby=\"label_83 sublabel_83_state\" autoComplete=\"section-input_83 address-level1\">\r\n                    <option selected=\"\" value=\"\">Please Select<\/option>\r\n                    <option value=\"Alabama\">Alabama<\/option>\r\n                    <option value=\"Alaska\">Alaska<\/option>\r\n                    <option value=\"Arizona\">Arizona<\/option>\r\n                    <option value=\"Arkansas\">Arkansas<\/option>\r\n                    <option value=\"California\">California<\/option>\r\n                    <option value=\"Colorado\">Colorado<\/option>\r\n                    <option value=\"Connecticut\">Connecticut<\/option>\r\n                    <option value=\"Delaware\">Delaware<\/option>\r\n                    <option value=\"District of Columbia\">District of Columbia<\/option>\r\n                    <option value=\"Florida\">Florida<\/option>\r\n                    <option value=\"Georgia\">Georgia<\/option>\r\n                    <option value=\"Hawaii\">Hawaii<\/option>\r\n                    <option value=\"Idaho\">Idaho<\/option>\r\n                    <option value=\"Illinois\">Illinois<\/option>\r\n                    <option value=\"Indiana\">Indiana<\/option>\r\n                    <option value=\"Iowa\">Iowa<\/option>\r\n                    <option value=\"Kansas\">Kansas<\/option>\r\n                    <option value=\"Kentucky\">Kentucky<\/option>\r\n                    <option value=\"Louisiana\">Louisiana<\/option>\r\n                    <option value=\"Maine\">Maine<\/option>\r\n                    <option value=\"Maryland\">Maryland<\/option>\r\n                    <option value=\"Massachusetts\">Massachusetts<\/option>\r\n                    <option value=\"Michigan\">Michigan<\/option>\r\n                    <option value=\"Minnesota\">Minnesota<\/option>\r\n                    <option value=\"Mississippi\">Mississippi<\/option>\r\n                    <option value=\"Missouri\">Missouri<\/option>\r\n                    <option value=\"Montana\">Montana<\/option>\r\n                    <option value=\"Nebraska\">Nebraska<\/option>\r\n                    <option value=\"Nevada\">Nevada<\/option>\r\n                    <option value=\"New Hampshire\">New Hampshire<\/option>\r\n                    <option value=\"New Jersey\">New Jersey<\/option>\r\n                    <option value=\"New Mexico\">New Mexico<\/option>\r\n                    <option value=\"New York\">New York<\/option>\r\n                    <option value=\"North Carolina\">North Carolina<\/option>\r\n                    <option value=\"North Dakota\">North Dakota<\/option>\r\n                    <option value=\"Ohio\">Ohio<\/option>\r\n                    <option value=\"Oklahoma\">Oklahoma<\/option>\r\n                    <option value=\"Oregon\">Oregon<\/option>\r\n                    <option value=\"Pennsylvania\">Pennsylvania<\/option>\r\n                    <option value=\"Rhode Island\">Rhode Island<\/option>\r\n                    <option value=\"South Carolina\">South Carolina<\/option>\r\n                    <option value=\"South Dakota\">South Dakota<\/option>\r\n                    <option value=\"Tennessee\">Tennessee<\/option>\r\n                    <option value=\"Texas\">Texas<\/option>\r\n                    <option value=\"Utah\">Utah<\/option>\r\n                    <option value=\"Vermont\">Vermont<\/option>\r\n                    <option value=\"Virginia\">Virginia<\/option>\r\n                    <option value=\"Washington\">Washington<\/option>\r\n                    <option value=\"West Virginia\">West Virginia<\/option>\r\n                    <option value=\"Wisconsin\">Wisconsin<\/option>\r\n                    <option value=\"Wyoming\">Wyoming<\/option>\r\n                  <\/select><label class=\"form-sub-label\" for=\"input_83_state\" id=\"sublabel_83_state\" style=\"min-height:13px\">State<\/label><\/span><\/span><\/div>\r\n            <div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField form-address-hiddenLine\" style=\"display:none\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_83_postal\" name=\"q83_whereDo[postal]\" class=\"form-textbox form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_83 off\" data-component=\"zip\" aria-labelledby=\"label_83 sublabel_83_postal\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_83_postal\" id=\"sublabel_83_postal\" style=\"min-height:13px\">Zip Code<\/label><\/span><\/span><\/div>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_128\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_128\" aria-hidden=\"false\"> Which of the following applies to you? Select all that apply. <\/label>\r\n        <div id=\"cid_128\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_128\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_128\" class=\"form-checkbox\" id=\"input_128_0\" name=\"q128_whichOf[]\" value=\"I have tested a home or building for radon and have results I\u2019d like to share.\" \/><label id=\"label_input_128_0\" for=\"input_128_0\">I have tested a home or building for radon and have results I\u2019d like to share.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_128\" class=\"form-checkbox\" id=\"input_128_1\" name=\"q128_whichOf[]\" value=\"I am interested in testing my home or another building for radon levels.\" \/><label id=\"label_input_128_1\" for=\"input_128_1\">I am interested in testing my home or another building for radon levels.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_128\" class=\"form-checkbox\" id=\"input_128_2\" name=\"q128_whichOf[]\" value=\"I have worked in industries, regulatory agencies or research facilities dedicated to radon and have insight to share.\" \/><label id=\"label_input_128_2\" for=\"input_128_2\">I have worked in industries, regulatory agencies or research facilities dedicated to radon and have insight to share.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_128\" class=\"form-checkbox\" id=\"input_128_3\" name=\"q128_whichOf[]\" value=\"I have information or questions about a different air pollutant.\" \/><label id=\"label_input_128_3\" for=\"input_128_3\">I have information or questions about a different air pollutant.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_128\" class=\"form-checkbox\" id=\"input_128_4\" name=\"q128_whichOf[]\" value=\"Other\" \/><label id=\"label_input_128_4\" for=\"input_128_4\">Other<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_131\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_131\" for=\"input_131\" aria-hidden=\"false\"> Why did you test for radon?\u00a0 <\/label>\r\n        <div id=\"cid_131\" class=\"form-input-wide\" data-layout=\"full\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_131\" class=\"form-textarea\" name=\"q131_whyDid131\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_131 sublabel_input_131\"><\/textarea><label class=\"form-sub-label\" for=\"input_131\" id=\"sublabel_input_131\" style=\"min-height:13px\">Questions you may want to consider: Do you live in a high-risk area? Does it have a disproportionately high number of lung cancer cases? Have previous tests returned high readings?<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_130\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_130\" for=\"input_130\" aria-hidden=\"false\"> Where did you do the testing? <\/label>\r\n        <div id=\"cid_130\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_130\" name=\"q130_whereDid\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_130 sublabel_input_130\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_130\" id=\"sublabel_input_130\" style=\"min-height:13px\">Please provide the address, including the city and state.<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_132\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_132\" aria-hidden=\"false\"> What kind of test did you use? <\/label>\r\n        <div id=\"cid_132\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_132\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_132\" class=\"form-checkbox\" id=\"input_132_0\" name=\"q132_whatKind[]\" value=\"Short-term test\" \/><label id=\"label_input_132_0\" for=\"input_132_0\">Short-term test<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_132\" class=\"form-checkbox\" id=\"input_132_1\" name=\"q132_whatKind[]\" value=\"Long-term test\" \/><label id=\"label_input_132_1\" for=\"input_132_1\">Long-term test<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_132\" class=\"form-checkbox\" id=\"input_132_2\" name=\"q132_whatKind[]\" value=\"Continuous test\" \/><label id=\"label_input_132_2\" for=\"input_132_2\">Continuous test<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_132\" class=\"form-checkbox\" id=\"input_132_3\" name=\"q132_whatKind[]\" value=\"Other\" \/><label id=\"label_input_132_3\" for=\"input_132_3\">Other<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_checkbox\" id=\"id_133\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_133\" aria-hidden=\"false\"> What radon levels did your testing show? <\/label>\r\n        <div id=\"cid_133\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_133\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_133\" class=\"form-checkbox\" id=\"input_133_0\" name=\"q133_whatRadon[]\" value=\"Below 2 pCi\/L\" \/><label id=\"label_input_133_0\" for=\"input_133_0\">Below 2 pCi\/L<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_133\" class=\"form-checkbox\" id=\"input_133_1\" name=\"q133_whatRadon[]\" value=\"Between 2.1 and 2.6 pCi\/L\" \/><label id=\"label_input_133_1\" for=\"input_133_1\">Between 2.1 and 2.6 pCi\/L<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_133\" class=\"form-checkbox\" id=\"input_133_2\" name=\"q133_whatRadon[]\" value=\"Between 2.6 and 4 pCi\/L\" \/><label id=\"label_input_133_2\" for=\"input_133_2\">Between 2.6 and 4 pCi\/L<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_133\" class=\"form-checkbox\" id=\"input_133_3\" name=\"q133_whatRadon[]\" value=\"Between 4.1 and 6 pCi\/L\" \/><label id=\"label_input_133_3\" for=\"input_133_3\">Between 4.1 and 6 pCi\/L<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_133\" class=\"form-checkbox\" id=\"input_133_4\" name=\"q133_whatRadon[]\" value=\"6.1 pCi\/L or above\" \/><label id=\"label_input_133_4\" for=\"input_133_4\">6.1 pCi\/L or above<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_134\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_134\" for=\"input_134\" aria-hidden=\"false\"> What steps did you take, if any, after you received these results? <\/label>\r\n        <div id=\"cid_134\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_134\" class=\"form-textarea\" name=\"q134_whatSteps\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_134\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_135\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_135\" for=\"input_135\" aria-hidden=\"false\"> Why are you interested in testing for radon?\u00a0 <\/label>\r\n        <div id=\"cid_135\" class=\"form-input-wide\" data-layout=\"full\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_135\" class=\"form-textarea\" name=\"q135_whyAre\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_135 sublabel_input_135\"><\/textarea><label class=\"form-sub-label\" for=\"input_135\" id=\"sublabel_input_135\" style=\"min-height:13px\">Questions you may want to consider: Do you live in a high-risk area? Does it have a disproportionately high number of lung cancer cases? Have previous tests returned high readings?<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_136\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_136\" for=\"input_136\" aria-hidden=\"false\"> Please share the address of the site where you would like to test for radon. <\/label>\r\n        <div id=\"cid_136\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_136\" name=\"q136_pleaseShare\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_136 sublabel_input_136\" value=\"\" \/><label class=\"form-sub-label\" for=\"input_136\" id=\"sublabel_input_136\" style=\"min-height:13px\">Please include the city and state.<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_137\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_137\" for=\"input_137\" aria-hidden=\"false\"> What questions do you have, if any, about radon in your space? <\/label>\r\n        <div id=\"cid_137\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_137\" class=\"form-textarea\" name=\"q137_whatQuestions\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_137\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_138\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_138\" for=\"input_138\" aria-hidden=\"false\"> Where do you, or did you, work? Please provide your employer\u2019s name, the title(s) you held, your day-to-day responsibilities and how long you worked there.\u00a0 <\/label>\r\n        <div id=\"cid_138\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_138\" class=\"form-textarea\" name=\"q138_whereDo138\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_138\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_139\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_139\" for=\"input_139\" aria-hidden=\"false\"> What would you like to share?\u00a0 <\/label>\r\n        <div id=\"cid_139\" class=\"form-input-wide\" data-layout=\"full\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_139\" class=\"form-textarea\" name=\"q139_whatWould\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_139 sublabel_input_139\"><\/textarea><label class=\"form-sub-label\" for=\"input_139\" id=\"sublabel_input_139\" style=\"min-height:13px\">We are especially interested in learning about both the good and bad experiences with the radon regulatory process.\u00a0<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_140\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_140\" for=\"input_140\" aria-hidden=\"false\"> Which air pollutant would you like to tell us about?\u00a0 <\/label>\r\n        <div id=\"cid_140\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_140\" name=\"q140_whichAir\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_140\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_142\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_142\" for=\"input_142\" aria-hidden=\"false\"> Why are you interested in this air pollutant? Please provide as much detail as you are comfortable with. <\/label>\r\n        <div id=\"cid_142\" class=\"form-input-wide\" data-layout=\"full\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_142\" class=\"form-textarea\" name=\"q142_whyAre142\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_142 sublabel_input_142\"><\/textarea><label class=\"form-sub-label\" for=\"input_142\" id=\"sublabel_input_142\" style=\"min-height:13px\">Questions you may want to consider: Do you live in a high-risk area? Does it have a disproportionately high number of illnesses related to the air pollutant? Have previous tests returned high readings?<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_143\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_143\" for=\"input_143\" aria-hidden=\"false\"> What questions do you have, if any, about the air pollutant? <\/label>\r\n        <div id=\"cid_143\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_143\" class=\"form-textarea\" name=\"q143_whatQuestions143\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_143\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_122\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_122\" aria-hidden=\"false\"> Who do you think is responsible for the environmental issues you are experiencing? <\/label>\r\n        <div id=\"cid_122\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_122\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_0\" name=\"q122_whoDo[]\" value=\"An industrial facility\" \/><label id=\"label_input_122_0\" for=\"input_122_0\">An industrial facility<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_1\" name=\"q122_whoDo[]\" value=\"A local utility company\" \/><label id=\"label_input_122_1\" for=\"input_122_1\">A local utility company<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_2\" name=\"q122_whoDo[]\" value=\"An extractive industry\" \/><label id=\"label_input_122_2\" for=\"input_122_2\">An extractive industry<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_122\" class=\"form-checkbox\" id=\"input_122_3\" name=\"q122_whoDo[]\" value=\"Other\" \/><label id=\"label_input_122_3\" for=\"input_122_3\">Other<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_123\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_123\" for=\"input_123\" aria-hidden=\"false\"> Please name the specific entity or person you think is responsible: <\/label>\r\n        <div id=\"cid_123\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_123\" name=\"q123_pleaseName\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_123\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_124\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_124\" aria-hidden=\"false\"> Have you or anyone you lived with had health issues, or passed away from health issues, that you think could be related to this issue? <\/label>\r\n        <div id=\"cid_124\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_124\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_124\" class=\"form-radio\" id=\"input_124_0\" name=\"q124_haveYou\" value=\"Yes\" \/><label id=\"label_input_124_0\" for=\"input_124_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_124\" class=\"form-radio\" id=\"input_124_1\" name=\"q124_haveYou\" value=\"No\" \/><label id=\"label_input_124_1\" for=\"input_124_1\">No<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_124\" class=\"form-radio\" id=\"input_124_2\" name=\"q124_haveYou\" value=\"Unsure\" \/><label id=\"label_input_124_2\" for=\"input_124_2\">Unsure<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_125\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_125\" for=\"input_125\" aria-hidden=\"false\"> Please tell us about these health conditions and the people affected in as much detail as you\u2019re comfortable with. <\/label>\r\n        <div id=\"cid_125\" class=\"form-input-wide\" data-layout=\"full\"> <textarea id=\"input_125\" class=\"form-textarea\" name=\"q125_pleaseTell\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_125\"><\/textarea> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_144\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_144\" for=\"input_144\" aria-hidden=\"false\"> ProPublica specializes in investigative and accountability reporting. Is there anything else you would like to share or think we should know? <\/label>\r\n        <div id=\"cid_144\" class=\"form-input-wide\" data-layout=\"full\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_144\" class=\"form-textarea\" name=\"q144_propublicaSpecializes\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_144 sublabel_input_144\"><\/textarea><label class=\"form-sub-label\" for=\"input_144\" id=\"sublabel_input_144\" style=\"min-height:13px\">Information about dates, locations or people involved are helpful as we follow up.<\/label><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_fileupload\" id=\"id_108\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_108\" for=\"input_108\" aria-hidden=\"false\"> Do you have any documents you are able to share with us? You can upload them here. <\/label>\r\n        <div id=\"cid_108\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"jfQuestion-fields\" data-wrapper-react=\"true\">\r\n            <div class=\"jfField isFilled\">\r\n              <div class=\"jfUpload-wrapper\">\r\n                <div class=\"jfUpload-container\">\r\n                  <div class=\"jfUpload-button-container\">\r\n                    <div class=\"jfUpload-button\" aria-hidden=\"true\" tabindex=\"0\" style=\"display:none\" data-version=\"v2\">Browse Files<div class=\"jfUpload-heading forDesktop\">Drag and drop files here<\/div>\r\n                      <div class=\"jfUpload-heading forMobile\">Choose a file<\/div>\r\n                    <\/div>\r\n                  <\/div>\r\n                <\/div>\r\n                <div class=\"jfUpload-files-container\">\r\n                  <div class=\"validate[multipleUpload]\"><input type=\"file\" id=\"input_108\" name=\"q108_doYou108[]\" multiple=\"\" class=\"form-upload-multiple\" data-imagevalidate=\"yes\" data-file-accept=\"pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" data-file-maxsize=\"10854\" data-file-minsize=\"0\" data-file-limit=\"\" data-component=\"fileupload\" aria-label=\"Browse Files\" \/><\/div>\r\n                <\/div>\r\n              <\/div><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><label class=\"form-sub-label\" for=\"input_108\" id=\"sublabel_input_108\" style=\"min-height:13px\">Collecting evidence is part of our process. Please reach out if you want more information.<\/label><\/span>\r\n            <\/div><span style=\"display:none\" class=\"cancelText\">Cancel<\/span><span style=\"display:none\" class=\"ofText\">of<\/span>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_44\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_44\" aria-hidden=\"false\"> What\u2019s the best way to reach you with follow-up questions? <\/label>\r\n        <div id=\"cid_44\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_44\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_0\" name=\"q44_whatsThe[]\" value=\"Email\" \/><label id=\"label_input_44_0\" for=\"input_44_0\">Email<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_1\" name=\"q44_whatsThe[]\" value=\"Phone\" \/><label id=\"label_input_44_1\" for=\"input_44_1\">Phone<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_2\" name=\"q44_whatsThe[]\" value=\"Signal\" \/><label id=\"label_input_44_2\" for=\"input_44_2\">Signal<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_44\" class=\"form-checkbox\" id=\"input_44_3\" name=\"q44_whatsThe[]\" value=\"WhatsApp\" \/><label id=\"label_input_44_3\" for=\"input_44_3\">WhatsApp<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q44_whatsThe[other]\" id=\"other_44\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_44\" style=\"text-indent:0\" for=\"other_44\">Other<\/label><span id=\"other_44_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q44_whatsThe[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_44\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_phone\" id=\"id_70\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_70\" for=\"input_70_full\"> What's your number on WhatsApp? <\/label>\r\n        <div id=\"cid_70\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_70_full\" name=\"q70_whatsYour70[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_70 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_70\" value=\"\" \/><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_phone\" id=\"id_71\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_71\" for=\"input_71_full\"> What's your Signal number? <\/label>\r\n        <div id=\"cid_71\" class=\"form-input-wide\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_71_full\" name=\"q71_whatsYour[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_71 tel-national\" style=\"width:310px\" data-masked=\"true\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_71\" value=\"\" \/><\/span> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_82\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_82\" aria-hidden=\"false\"> How did you find this form? I saw it on\/in: <\/label>\r\n        <div id=\"cid_82\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_82\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_0\" name=\"q82_howDid[]\" value=\"ProPublica\u2019s website\" \/><label id=\"label_input_82_0\" for=\"input_82_0\">ProPublica\u2019s website<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_1\" name=\"q82_howDid[]\" value=\"Another publication\" \/><label id=\"label_input_82_1\" for=\"input_82_1\">Another publication<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_2\" name=\"q82_howDid[]\" value=\"Another forum, newsletter, blog or group I follow\" \/><label id=\"label_input_82_2\" for=\"input_82_2\">Another forum, newsletter, blog or group I follow<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_3\" name=\"q82_howDid[]\" value=\"Facebook\" \/><label id=\"label_input_82_3\" for=\"input_82_3\">Facebook<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_4\" name=\"q82_howDid[]\" value=\"Twitter\" \/><label id=\"label_input_82_4\" for=\"input_82_4\">Twitter<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_5\" name=\"q82_howDid[]\" value=\"Reddit\" \/><label id=\"label_input_82_5\" for=\"input_82_5\">Reddit<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_6\" name=\"q82_howDid[]\" value=\"Instagram\" \/><label id=\"label_input_82_6\" for=\"input_82_6\">Instagram<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_7\" name=\"q82_howDid[]\" value=\"TikTok\" \/><label id=\"label_input_82_7\" for=\"input_82_7\">TikTok<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_8\" name=\"q82_howDid[]\" value=\"Someone sent it to me directly\" \/><label id=\"label_input_82_8\" for=\"input_82_8\">Someone sent it to me directly<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_9\" name=\"q82_howDid[]\" value=\"A ProPublica newsletter\" \/><label id=\"label_input_82_9\" for=\"input_82_9\">A ProPublica newsletter<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_82\" class=\"form-checkbox\" id=\"input_82_10\" name=\"q82_howDid[]\" value=\"Other\" \/><label id=\"label_input_82_10\" for=\"input_82_10\">Other<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_119\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_119\" for=\"input_119\" aria-hidden=\"false\"> Which publication? <\/label>\r\n        <div id=\"cid_119\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_119\" name=\"q119_whichPublication\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_119\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_120\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_120\" for=\"input_120\" aria-hidden=\"false\"> Which forum, newsletter, blog or group? <\/label>\r\n        <div id=\"cid_120\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_120\" name=\"q120_whichForum\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_120\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_121\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_121\" for=\"input_121\" aria-hidden=\"false\"> Do you have ideas for getting the word out?\u00a0 Who else should we talk to? <\/label>\r\n        <div id=\"cid_121\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_121\" name=\"q121_doYou\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_121\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_92\">\r\n        <div id=\"cid_92\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div id=\"text_92\" class=\"form-html\" data-component=\"text\" tabindex=\"0\">\r\n            <p><span style=\"font-size: 10pt;\"><em>The following questions are completely optional. ProPublica is committed to maintaining a diverse and representative body of sources. We ask these next questions to understand who we\u2019re reaching and who is affected by the issues we cover.<\/em><\/span><\/p>\r\n          <\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_126\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_126\" aria-hidden=\"false\"> Which race or ethnicity do you identify as? Select all that apply. <\/label>\r\n        <div id=\"cid_126\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_126\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_0\" name=\"q126_whichRace[]\" value=\"Asian or Asian American\" \/><label id=\"label_input_126_0\" for=\"input_126_0\">Asian or Asian American<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_1\" name=\"q126_whichRace[]\" value=\"Black or African American\" \/><label id=\"label_input_126_1\" for=\"input_126_1\">Black or African American<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_2\" name=\"q126_whichRace[]\" value=\"Hispanic or Latina\/o\/x\" \/><label id=\"label_input_126_2\" for=\"input_126_2\">Hispanic or Latina\/o\/x<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_3\" name=\"q126_whichRace[]\" value=\"Middle Eastern or North African\" \/><label id=\"label_input_126_3\" for=\"input_126_3\">Middle Eastern or North African<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_4\" name=\"q126_whichRace[]\" value=\"Native American or Indigenous\" \/><label id=\"label_input_126_4\" for=\"input_126_4\">Native American or Indigenous<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_5\" name=\"q126_whichRace[]\" value=\"Native Hawaiian or Pacific Islander\" \/><label id=\"label_input_126_5\" for=\"input_126_5\">Native Hawaiian or Pacific Islander<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_6\" name=\"q126_whichRace[]\" value=\"White\" \/><label id=\"label_input_126_6\" for=\"input_126_6\">White<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_126\" class=\"form-checkbox\" id=\"input_126_7\" name=\"q126_whichRace[]\" value=\"Another option not listed\" \/><label id=\"label_input_126_7\" for=\"input_126_7\">Another option not listed<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_127\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_127\" for=\"input_127\" aria-hidden=\"false\"> Please list which race or ethnicity you identify as: <\/label>\r\n        <div id=\"cid_127\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_127\" name=\"q127_pleaseList\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_127\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_94\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_94\" aria-hidden=\"false\"> ProPublica works with a trusted network of local and national partners around the country. If we\u2019re unable to follow up on your tip, can we share your tip with a journalist from another news organization who may be able to follow up sooner? <\/label>\r\n        <div id=\"cid_94\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_94\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_0\" name=\"q94_propublicaWorks\" value=\"Yes\" \/><label id=\"label_input_94_0\" for=\"input_94_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_1\" name=\"q94_propublicaWorks\" value=\"No\" \/><label id=\"label_input_94_1\" for=\"input_94_1\">No<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_2\" name=\"q94_propublicaWorks\" value=\"Maybe; please ask me first\" \/><label id=\"label_input_94_2\" for=\"input_94_2\">Maybe; please ask me first<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_95\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_95\" aria-hidden=\"false\"> Would you like to help us spread the word about our project(s)\/work\/journalism? Let us know if you are interested in any of the following: <\/label>\r\n        <div id=\"cid_95\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_95\" data-component=\"checkbox\"><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_95\" class=\"form-checkbox\" id=\"input_95_0\" name=\"q95_wouldYou[]\" value=\"Sharing forms (like this one) in community spaces, either online or in person.\" \/><label id=\"label_input_95_0\" for=\"input_95_0\">Sharing forms (like this one) in community spaces, either online or in person.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_95\" class=\"form-checkbox\" id=\"input_95_1\" name=\"q95_wouldYou[]\" value=\"Sharing a reporter\u2019s work or contact information with members of the community.\" \/><label id=\"label_input_95_1\" for=\"input_95_1\">Sharing a reporter\u2019s work or contact information with members of the community.<\/label><\/span><span class=\"form-checkbox-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"checkbox\" aria-describedby=\"label_95\" class=\"form-checkbox\" id=\"input_95_2\" name=\"q95_wouldYou[]\" value=\"Testing or providing feedback on our journalism early in the process.\" \/><label id=\"label_input_95_2\" for=\"input_95_2\">Testing or providing feedback on our journalism early in the process.<\/label><\/span><span class=\"form-checkbox-item formCheckboxOther\" style=\"clear:left\"><input type=\"checkbox\" class=\"form-checkbox-other form-checkbox\" name=\"q95_wouldYou[other]\" id=\"other_95\" value=\"other\" tabindex=\"0\" aria-label=\"Other\" \/><label id=\"label_other_95\" style=\"text-indent:0\" for=\"other_95\">Other<\/label><span id=\"other_95_input\" class=\"other-input-container\" style=\"display:none\"><input type=\"text\" class=\"form-checkbox-other-input form-textbox\" name=\"q95_wouldYou[other]\" data-otherhint=\"Other\" size=\"15\" id=\"input_95\" data-placeholder=\"Please type another option here\" placeholder=\"Please type another option here\" \/><\/span><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_97\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_97\" for=\"input_97\" aria-hidden=\"false\"> Thank you! Please tell us a bit about what it takes to get word out in your community. We would appreciate any suggestions and advice. <\/label>\r\n        <div id=\"cid_97\" class=\"form-input-wide\" data-layout=\"half\"> <input type=\"text\" id=\"input_97\" name=\"q97_thankYou97\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" data-component=\"textbox\" aria-labelledby=\"label_97\" value=\"\" \/> <\/div>\r\n      <\/li>\r\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_46\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_46\" aria-hidden=\"false\"> Do you want to be notified when ProPublica publishes big investigations?<span class=\"form-required\">*<\/span> <\/label>\r\n        <div id=\"cid_46\" class=\"form-input-wide jf-required\" data-layout=\"full\">\r\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_46\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_46\" class=\"form-radio validate[required]\" id=\"input_46_0\" name=\"q46_doYou46\" checked=\"\" value=\"Yes\" required=\"\" \/><label id=\"label_input_46_0\" for=\"input_46_0\">Yes<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_46\" class=\"form-radio validate[required]\" id=\"input_46_1\" name=\"q46_doYou46\" value=\"No\" required=\"\" \/><label id=\"label_input_46_1\" for=\"input_46_1\">No<\/label><\/span><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_2\">\r\n        <div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\">\r\n          <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">Submit<\/button><\/div>\r\n        <\/div>\r\n      <\/li>\r\n      <li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" type=\"hidden\" \/><\/li>\r\n    <\/ul>\r\n  <\/div>\r\n  <script>\r\n    JotForm.showJotFormPowered = \"0\";\r\n  <\/script>\r\n  <script>\r\n    JotForm.poweredByText = \"Powered by Jotform\";\r\n  <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"231763305415148\" \/>\r\n  <script type=\"text\/javascript\">\r\n    var all_spc = document.querySelectorAll(\"form[id='231763305415148'] .si\" + \"mple\" + \"_spc\");\r\n    for (var i = 0; i < all_spc.length; i++)\r\n    {\r\n      all_spc[i].value = \"231763305415148-231763305415148\";\r\n    }\r\n  <\/script><input type=\"hidden\" id=\"input_114\" name=\"q114_uniqueId\" class=\"form-textbox form-hidden\" data-defaultvalue=\"QD625W\" data-component=\"autoincrement\" aria-labelledby=\"label_114\" value=\"QD625W\" \/>\r\n<\/form><\/body>\n<\/html><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>","Air Quality Testing Callout",Array);var permittedDomains=[];try{var renderURLDomain=new URL("https://propublica.jotform.com/231763305415148").hostname;permittedDomains=[renderURLDomain];}catch(e){permittedDomains=['jotform.com','jotform.pro'];}
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