Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Household Hazardous Waste Collection Survey

  1. How did you hear about this collection?
  2. In the past year, has anyone in your home used an insecticide other than bug spray?
  3. When purchasing products, do you check labels for toxic ingredients?
  4. Have you visited any household hazardous waste webpages?
  5. Are you aware that all fluorescent lights (tubes and bulbs) and devices containing mercury are banned from being disposed of as trash?
  6. Have you moved to a new home or residence within the past year?
  7. Were there any hazardous products, such as paint, pesticides or cleaners left by the previous owner?
  8. Have you participated in the Goffstown Household Hazardous Waste Collection Program prior to today?
  9. Leave This Blank:

  10. This field is not part of the form submission.