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* 1. In general, how prepared do you feel you are for catastrophic disaster such as an earthquake?

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* 2. Which of the following events are you most concerned about? (Select up to 4)

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* 3. Do you have any disaster preparedness training? If yes, please list

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* 4. What type of disaster preparedness training would you be interested in attending? (select all that apply)

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* 5. When there is a local emergency, where do you typically look for information?

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* 6. In the event of a catastrophic event, with services unavailable for several days or weeks, where would you go for assistance and support?

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* 7. Where do you think would be the best location near you to be set up a resource center providing help after a major disaster?

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* 8. What kind of help do you think you will need after a major disaster?

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* 9. Do you have an emergency preparedness kit?

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* 10. Do you have back up power capability at your home ?

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* 11. On which street in West Bremerton do you live, work or volunteer?

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* 12. Are you interested in helping to establish or volunteer at a disaster recovery center? If yes, please provide your name and a contact email address.

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