How Can We Help You Prepare? Question Title * 1. Do you have a disaster preparedness plan? Yes No Question Title * 2. If you answered yes to Q1: Is the plan understood and accesible to all in your care? Yes No None of the above Question Title * 3. If you answered No to Q1 or Q2: What is the main barrier/ barriers you face preventing you from having a written accessible plan? Lack of Resources Lack of Time Not having the information to properly make one Unique needs Other (please specify) Question Title * 4. Do you have or provide care for someone with special health care needs or other unique needs? Yes No Other (please specify) Question Title * 5. What are the special health care or unique needs that should that you or someone in your care has? Question Title * 6. What kind of guide would help you and those you care for? Done