Get Lead Risk Assessment Questionnaire Child's Name: Date Of ...

Filling out the Lead Risk Assessment Questionnaire is an important step in assessing potential lead exposure for your child. This guide provides clear and detailed instructions on how to complete the questionnaire effectively online.

Follow the steps to complete your Lead Risk Assessment Questionnaire.

1. To start, click the ‘Get Form’ button to obtain the form and open it in your editing platform.
2. Begin filling out the child's name and date of birth in the designated fields. Ensure accuracy for effective assessment.
3. Proceed to the high-risk exposure factors section. For each question listed, mark 'Yes' or 'No' based on your knowledge of your child's living environment and exposure history.
4. For question one, consider whether your child lives in or frequently visits any houses with peeling or chipping paint that were built before 1960. If yes, check the 'Yes' box.
5. For question two, determine if your child is in a location built before 1960 that has recent or ongoing renovation activities. Again, answer accordingly with 'Yes' or 'No.'
6. Question three addresses whether your child lives with an adult who may have exposure to lead due to their occupation or hobbies. Mark appropriately.
7. In question four, report any elevated blood lead test results. If your child has not been tested previously, select 'No.'
8. If applicable, provide any other risk factors or comments in the designated space at the bottom of the form.
9. Once all sections have been filled out, review the information for accuracy. Make any necessary changes.
10. Finally, you can save your changes, download, print, or share the completed form as needed.

Complete your Lead Risk Assessment Questionnaire online today to ensure the health and safety of your child.