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Provincial Survey - Community Wood Smoke Reduction Program

This survey is a mandatory requirement for each Community Wood Smoke Reduction Program (CWSRP) applicant submitting a rebate application. Your responses will be summarized and anonymized. No personal or identifying information will be retained. 

Please fill out this survey using the online form below and hit "Submit" when you are done. Responses will be automatically received by the RDN and reviewed with your application. If any additional information is required, CWSRP Program Administrators will reach out to you using the contact information on your application. 

This survey should take approximately 5-10 minutes to complete. 

If there are issues with the online form, please call 250-390-5422 during business hours (8:30 a.m. - 4:30 p.m.) or email

The personal information you provide is collected by the Regional District of Nanaimo (RDN) under sections 26(c) and 26(e) of the Freedom of Information and Protection of Privacy Act (FIPPA) for the purposes of engaging and consulting with the public. The RDN is using a Bang the Table engagement platform that stores the information in Canada. However, Bang the Table staff are located in the US and may access your user profile information to provide assistance at your request. 

Some of the questions allow for responses using open-text fields. To protect your privacy and the privacy of others, please do not include any information that could identify you or another person. Identifying information could include a person’s name, address, email or phone number. Any personal information that is inadvertently included in the open-text responses will be deleted once the results of the survey are compiled.

If you have any questions about the collection of your personal information, please contact Taylor Nielsen at or by calling 250-390-5422.

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Please indicate your age group:

* required
*If under 16, a consent form must be collected by a responsible adult. Contact the RDN at for a consent form.

Maximum 10 characters



Why do you want to replace your old wood stove? (You may choose multiple answers)

* required

What type of replacement appliance did you choose?

* required

How did you find information about the program? (You may choose multiple answers)

* required

How often (approximately) did you use your original wood appliance in winter?

* required

How much wood (approximately) do you use in winter?

* required

What is the total cost of your new appliance including installation fees?

* required

What would it, or did it, cost you to dispose of your old wood stove? (Removal, transportation, recycling)

* required

How much rebate do you qualify for in total? (From the provincial program, local governments, retailers, etc.)

* required