The Clean Air 21 Initiative - Clean Air for Delhi

Name *

Age *

Profession *

How has poor air quality impacted your life? *

Personal or family health is being affectedChildren cannot attend school or play outdoorsWork productivity is being impactedElderly family members cannot maintain active lifestylesMental health and well-being are sufferingIncreased medical expenses due to respiratory issues

Anything else you wish to add?

Take Action for Clean Air