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Secret Shoppers for Healthy Homes

 

Thank you for serving as a shopper for us!  By documenting problems and successes, your effort will help us improve the quality of advice and products sold at the retailers you and your neighbors frequent.  Your work will make healthier homes for all! 

 

Please review the instructions before visiting a store.  No problem if you can only check a few items.  You contribution will help.  Click here for hard copy of form and instructionsClick on the link to get to the relevant part of the instructions.  Use the "BACK" key on your browser to get back to the form and keep the information you entered.

 

Basic Information  

Store Name 

Products/Services Checked

Store Address

Paint
Pesticides - Roach

Who is Doing Survey?

Pesticides - Rat Name
Furnace Filters Date
Safety Alarms/ Monitors Time

Paint Department
Key Products Retailers Need to Offer

Free EPA "Protect Your Family from Lead in Your Home" Pamphlet

LeadCheck® swab

Lead dust kit such as Lead-Smart®

When asked, clerk said When asked, clerk said When asked, clerk said
Please add any comments you have:

 

Advice from Clerk

Initial Advice

(check all that apply)

Warning Statement on Can Advice After Warning

(check all that apply)

No advice The lead warning statement should be on the lid of the can but may be in the fine-print on the side.

"WARNING!  If you scrape, sand or remove old paint, you may release lead dust. LEAD IS TOXIC. Contact the National Lead Information Hotline at 1-800-424-LEAD or log on to www.epa.gov/lead."

 

No advice given
Sand without water
Scrape without water No change in advice
Use chemical stripper
Use citrus stripper Don't sand or scrape
Use heat gun carefully
Don't sand or scrape Test paint first
Wet sand & cleanup
Test paint for lead first Hire professional
Hire professional No Warning Label on Can

If clerk gave other advice or made other comments, please explain:

Pesticide Department
Roach Control Advice(check all that apply)

Product Selection

Housekeeping & Maintenance Advice

Bait / Roach Motel Available

Yes

No
Glue Trap Available

Comments

Bait Gel Available
Boric Acid Available
Insect Spray Available
Fogger Available
 

Rat Control Advice

(check all that apply)

Product Selection

Housekeeping & Maintenance Advice

Rat Poison Available

Yes

No
Snap Trap Available

Comments

Glue Trap Available
Plastic Box (to secure poison and keep pets and kids safe from poison) Available

Furnace Filters

Advice Provided

Comments

Safety Alarms/Monitors
Best Carbon Monoxide (CO) Alarm Sold:

Other Safety Alarms/Equipment Sold

Radon Gas Test Kit
Smoke Alarm
Respirators (cartridge)
Yes, clerk recommended safety alarms Respirators (PF-95)

Comments:

 

10320 Little Patuxent Parkway, Suite 500 • Columbia, MD 21044
Phone: 410.992.0712 • Fax: 443.539.4150