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Questions marked with a * are required Exit Survey
 
 
* How would you rate your level of preparedness for an emergency?
 
 
 
* What types of emergency situations concern you? (choose as many as apply)
 
Earthquake
 
Hazardous Materials Incident
 
Public Health
 
Severe Weather
 
Terrorist Activity

 
 
What steps have you taken to prepare for an emergency?
Not Done Will Do Have Done
* Obtained information
* Attended meetings/classes
* Signed up for alerts
* Prepared emergency plan
* Assembled disaster kit
 
 
What preparedness actions have you taken?
Not Done Plan To Do Have Done
* Water
* Food
* First Aid Kit
* Flashlight
* Weather Radio
* Generator
* Batteries
* Medications
* Hygiene Items
* Tools For Utilities
* Cell Phone/Chargers
* Extra Sets of Keys
* Emergency Contacts
 
 
 
* What is your preferred method of obtaining preparedness information? (choose up to 5)
 
Brochures
 
Television
 
Radio
 
Internet
 
Meetings
 
Classes
 
Social Media

 
 
 
* What is your preferred method of monitoring an emergency situation? (choose as many as apply)
 
Television
 
Radio
 
Weather Radio
 
Cellphone
 
Social Media

 
 
 
* Which of the following are concerns for you in regard to emergency preparedness? (choose as many as apply)
 
Non-English Speakers
 
Special Needs Individuals
 
Seniors
 
Pets
 
None

 
 
 
* What would you like more information about? (choose as many as apply)
 
General Emergency Preparedness
 
Creating An Emergency Plan
 
Building A Disaster Kit

 
 
 
* How would you rate the preparedness level of your community?
 
 
 
* What additional concerns, interests, or comments do you have regarding Emergency Preparedness?