b) What is the elevation (in feet) of your town?
up to 300 m (2 mrem)
300 - 600 (5 mrem)
600 - 900 (9 mrem)
900 - 1200 (15 mrem)
1200 - 1500 (21 mrem)
1500 - 1800 (29 mrem)
1800 - 2100 (40 mrem)
2100 - 2400 (53 mrem)
above 2400 (70 mrem)

b) From air, (radon) 120 mrem

c) Do you have porcelain crowns or false teeth?
No (0 mrem)
Yes (0.07 mrem)

b) Are X-ray luggage inspection machines used at your airport?
No (0 mrem)
Yes (0.002 mrem)

c) Do you use gas lantern mantles when camping?
No (0 mrem)
Yes (0.003 mrem)

b) House construction: Do you live in a stone, brick, or concrete building?
No (0 mrem)
Yes (7 mrem)

c) Do you wear a luminous wristwatch (LCD)?
No (0 mrem)
Yes (0.06 mrem)

d) Do you watch TV?
No (0 mrem)
Yes (1 mrem)

e) Do you use a computer terminal?
No (0 mrem)
Yes (1 mrem)

f) Do you have a smoke detector in your home?
No (0 mrem)
Yes (0.008 mrem)

g) How many medical x-rays do you receive per year? (40 mrem each)

h) How many nuclear medical procedures do you receive per year? (14 mrem each)

i) Do you live within 50 miles of a nuclear power plant?
No (0 mrem)
Yes (0.009 mrem)

j) Do you live within 50 miles of a coal fired power plant?
No (0 mrem)
Yes (0.03 mrem)