Dutchess County Legislature
Tick Task Force Informational Survey


* Questions denoted with an asterik must be answered.

* How long have you resided in Dutchess County?
      0-4 years
      5-10 years
      11-20 years
      More than 20 years

* Do you have a tick removal kit at home?

* Have you or a family member been diagnosed by a health care professional with a tick-borne disease?

* Have you experienced challenges with diagnosis or treatment of your tick borne disease?

If yes, please describe:


* In what part of Dutchess County do you reside?

If you would like to join a Lyme Awareness email list, please enter your email address:


*** Enter the following number in the box below before submitting your Survey:      ***