Tippecanoe County Disaster Survey

 
1. At your property in Tippecanoe County, have you ever experienced any of the following disasters (select all that are appropriate)?
2. What time of the year did these events occur?
SeasonYearYear (more than one occurence)Year (more than one occurence)Extent of Damage
Earthquake
Snow Storm
Windstorm
Dam Failure
Ice Storm
Utility Failure (Not weather-related)
Flooding
Tornado
Hazardous Material Spill
3. Where did the damage occur?
4. Please rank the disasters in order in which you feel they are likely to occur in Tippecanoe County (#1 being most likely to occur).
123456789
Earthquake
Snow Storm
Windstorm
Dam Failure
Ice Storm
Utility Failure
Flooding
Tornado
Hazardous Material Spill
5. Please check which disasters you feel most apply to you and your current residence (check all that apply)
6. Please include any additional information you believe would be helpful to our planning efforts, including ideas for reducing the impacts of natural or manmade disasters.
Powered by SurveyMonkey
Check out our sample surveys and create your own now!