Toggle navigation Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Acadia E-waste Disposal Information Please provide the information requested below (This question is mandatory) Contact info Name Department Building Room number Phone number Email address (This question is mandatory) Number of items Choose one of the following answers Please choose... 1 2 3 4 5 6 7 8 9 10 (This question is mandatory) Item 1 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 2 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 3 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 4 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 5 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 6 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 7 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 8 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 9 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure (This question is mandatory) Item 10 (This question is mandatory) Is this item functional? Choose one of the following answers Yes No Unsure Submit Please confirm you want to clear your response? Exit and clear survey ×
