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2. 1. What department do you work in?

   1. Arts & Culture
   2. Budget
   3. Building Services
   4. City Clerk
   5. City Manager
   6. Economic Development
   7. Engineering
   8. Finance
   9. Personnel
   10. Planning & Zoning
   11. Utility Billing
4. 2. Where is your office located?

   1. 1st Floor
   2. 2nd Floor
   3. 3rd Floor
   4. Basement
6. 3. What is your first name? To best identify possible HVAC system improvements we need to know your seating location in the building.
8. 4. Do you associate any of the following conditions with your work environment?

   1. Noticeable odors
   2. Dust in air
   3. Disturbing noises
   4. Excessive dust
   5. Excessive moisture
   6. Mold growth
   7. No concerns
   8. Other (please specify below)
10. If you chose "other" to answer the above question, please specify here:
12. 5. In reference to question #4: How often do these conditions occur?

    1. Morning
    2. Afternoon
    3. All day
    4. No noticeable trend
    5. Other (please specify below)
14. If you chose "other" to answer the above question, please specify here:
16. 6. In reference to question #4: Please indicate the specific day(s) of the week.

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
    6. None
18. 7. In reference to question #4: Please indicate the specific month(s) of the year.

    1. January
    2. February
    3. March
    4. April
    5. May
    6. June
    7. July
    8. August
    9. September
    10. October
    11. November
    12. December
    13. None
20. 8. Please indicate your primary work area:

    1. Enclosed office/room
    2. Cube with tall wall ( > 6 ft)
    3. Cube with short wall ( < 6 ft)
    4. Desk with no walls
    5. Work throughout the building
    6. Other (please specify below)
22. If you chose "other" to answer the above question, please specify here:
24. 9. Do you have windows in close proximity to your primary work area?

    1. Yes
    2. No
26. 10. Were any of the following items regularly used at or near your work area during the past year?

    1. Portable space heater
    2. Portable fan/cooling unit
    3. Portable air filter or cleaner
    4. Portable humidifier
    5. None
28. 11. Have any of the following activities taken place near your work area recently?

    1. Increase or decrease in # of people working in your area
    2. Change in building layout or use
    3. Construction activities
    4. Heating or cooling system changes
    5. None
    6. I don't know
30. 12. DURING SUMMER MONTHS ONLY (June-September) - Is your workspace area:

    1. Too hot
    2. Too cold
    3. Too humid
    4. Too dry
    5. Drafty
    6. Poor air circulation
    7. I'm satisfied with the air and temperature conditions
32. Please explain the reasons for your discomfort:
34. 13. Do any of your co-workers have similar problems that you are aware of?

    1. Yes
    2. No
    3. I don't know
36. 14. DURING WINTER MONTHS ONLY (December-March) - Is your workspace area:

    1. Too hot
    2. Too cold
    3. Too humid
    4. Too dry
    5. Drafty
    6. Poor air circulation
    7. I'm satisfied with the air and temperature conditions
38. Please explain the reasons for your discomfort:
40. 15. Do any of your co-workers have similar problems that you are aware of?

    1. Yes
    2. No
    3. I don't know
42. 16. DURING SPRING/FALL MONTHS ONLY (April, May, October, November) - Is your workspace area:

    1. Too hot
    2. Too cold
    3. Too humid
    4. Too dry
    5. Drafty
    6. Poor air circulation
    7. I'm satisfied with the air and temperature conditions
44. Please explain the reasons for your discomfort:
46. 17. Do any of your co-workers have similar problems that you are aware of?

    1. Yes
    2. No
    3. I don't know
48. If you are NOT satisfied with the temperature in your work area, what would you do to request assistance or report the problem?
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