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* 1. Have you or someone in your household experienced any of the natural disasters below? (Please check ALL that apply)

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* 2. How concerned are you about the following natural hazards affecting our area? (Please check only ONE box for each hazard)

  Extremely Concerned Very Concerned Concerned Somewhat Concerned Not Concerned
Drought
Earthquake
Flood
Household Fire
Hurricane
Ice Storm
Landslide/Debris Flow
Wildfire
Tornado/ Wind Storm/Derecho
Winter Storm/Blizzard
Other (please specify)

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* 3. For each activity below please select: what you have done, plan to do in the near future, have not done, or are unable to do, in your household. (Please check ONE answer per activity)

  Have Done Plan to Do Not Done Unable to Do
Attend meetings or received written information on natural disasters or emergency preparedness?
Developed a plan for what everyone would do in the event of a household emergency?
Prepared a "Disaster Supply Kit" (Stored extra food, etc.)?
Purchased Flood Insurance?
Implemented fire- resistance or floodproofing techniques on your home or business
Installed smoke detectors and fire extinguishers in your home or business?

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* 4. How concerned are you of an occurrence of a natural hazard on your property? 

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* 5. What modifications have you made or would you consider making to protect your home or business from natural disasters? (Please check ALL that apply)

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* 6. Which of the following incentives, if any, would motivate you to take additional steps to better protect your family and home from a natural disaster? (Please check ALL that apply)

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* 7. How likely is your community to follow recommendations or requirements that attempt to mitigate risk in ongoing and future pandemics? (Please check only one)

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* 8. What manmade hazards are of the greatest concern to you and your community? (Please check ALL that apply)

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* 9. In what county, city, or town do you live?

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* 10. Do you own or rent your dwelling?

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* 11. Additional Comments

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* 12. Thank you for your participation!

This survey may be submitted anonymously; however, if you would like to receive information regarding upcoming public meetings for the hazard mitigation plan update, please provide your name and contact information:

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