K12 Questionnaire

School Name

Address

Contact Name

First

Last

Phone Number

Email

How many buildings does your school have?

Approximate square footage of each?

How many students?

Average classroom size?

What percent of buildings have mechanical ventilation? Heating, Cooling or Both?

What types of equipment do you utilize? (check all that apply)

If there are buildings that have no mechanical ventilation, does the school have plans to add HVAC equipment or improve IAQ in these buildings? If so is the plan to replace units, install AHU's, etc.

What MERV rating filters are currently being used? How frequent are your scheduled changes?

Does your school have mechanical drawings,schedules,age of units for all it's buildings?

Yes
No
Not sure

What IAQ measures have been considered or implemented to HVAC or indoor spaces?

Does your school have any continuous IAQ air monitoring sensors? If yes, what kind?

How is the school preparing to comply with ASHRAE 241 and/or UL Verified Ventilation & Filtration / CDC 5 ACH?

Does the district have a consulting or engineering design firm? If yes, who is your point of contact?

Does the school have a budget allocated to improve IAQ? If yes, what is the budget limit?

Has the district utilized and spent and ESSR funds?

Yes
No

Are any ESSR funds still available?

Yes
No

Does the school need help writing grants?

Yes
No

Who are the stakeholders?

What does the relationship look like with them?

Could they use help communicating IAQ improvements?

Yes
No

Could the school use PR assistance?

Yes
No

How is the relationship with UFT?

Does the school have a Building Readiness Plan (BRP)?

Yes
No

Thank you for your interest in providing excellent indoor air quality for your students!