This questionnaire was developed to collect information that may help us solve your IEQ concern. Personal medical information will not be seen or shared with anyone other than the EH&S staff investigating the issue. Please fill out the questionnaire as completely and accurately as possible. For questions or comments please email the EH&S Industrial Hygiene Program indhyg@ehs.ucla.edu.
Please note that due to the number of reports received, investigations may not occur the same day.
