Online Odor Complaints Form Odor Complaint Form Basic InfoName*Address*Phone (123) 456-7890*Odor DescriptionDate of Odor* Date Format: MM slash DD slash YYYY Approx Time of Odor*-Please Select-12a-4a4a-8a8a-12p12p-4p4p-8p8p-12aHow long does odor last?*-Please Select-0-60 Mins1-4 Hours4-12 Hours12-24 Hours24+ HoursHow often does odor occur? -Please Select-DailyWeeklyVariesLocation you noticed odor (address, closest landmark/business, etc.)*What does the odor smell like?*-Please Select-AmmoniaBurnt/SmokyGarbageSewer/Sewage-LikeChemical/SolventEarthy/Moldy/MustyFishyManureDecaying GrassRotten EggSkunkTurpentineWoodPlease rate the intensity of the odor*-Please Select-NoneVery FaintLightModerateVery StrongWeatherTemperatureWeather Conditions Clear Overcast Calm Light Breeze (1-5 mph) Moderate Wind (5-15 mph) Strong Wind (15+ mph) Raining Snowing Wind Direction-Please Select-NoneNorthSouthEastWestNortheastSoutheastNorthwestSouthwestRelative Humidity-Please Select-None25%25-50%50-75%>75%Other NotesWhat is the possible source of odor?Why did you chose this source?Is odor endangering your health or comfort?-Please Select-YesNoIs odor endangering your property?-Please Select-YesNoWe welcome any comments you may haveCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
