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* 1. Are you representing yourself as a resident of the reservation or as part of an tribal program? If so, what program? (council representative, BIA, local business, etc.)

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* 2. What types of hazardous events have you experienced personally on the reservation? (check all that apply)

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* 3. How have each of the following hazards impacted you/your home/your neighborhood/your work/etc.?

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* 4. Please rank these natural hazard events from most concerning to least concerning to you.

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* 5. Have you or a member of your household taken any of the following actions to protect your home?

  Have Done Plan to Do Not Done Unable to Do Not Applicable
Elevated your home for flood protection
Moved out of hazardous areas (floodplain or near major highways)
Braced or reinforced walls, foundations, chimneys, or utilities
Anchored your home/trailers/tanks to foundation
Used fire-resistant building or roof materials
Maintain 30’ of bare space around homes or buildings
Signed up for emergency alerts from your county emergency management agency
Attended safety related training and certifications (CERT, First Aid, CPR, etc.)
Developed a Home Emergency Plan that describes what you will do during a natural disaster
Identified the safest place to be in your home/work during a tornado
Identified the safest place to be in your home/work during an earthquake
Upgraded home energy utilities for increased efficiency

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* 6. Preparing for a disaster can take many forms. How important is it to mitigate potential hazard risk to the following?

  Very Important Somewhat Important Neutral Somewhat Not Important Not Important
Protecting people
Protecting private property
Protecting tribal assets (parks, community buildings, cultural markers)
Protecting critical facilities (hospitals, fire/police stations, school facilities)
Preventing development in hazardous areas (example - flood prone areas)
Protecting natural environments
Protecting historical/cultural landmarks
Increasing cooperation between emergency response agencies and the public
Improving notification and weather alert communication systems 
Improving emergency response capabilities (fire/police/emergency management equipment and training)
Increase or improve education for disaster preparedness (evacuation, weather safety, etc.)
Protecting energy resources and utilities

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* 7. What buildings in your community are the most valuable when there is an emergency or power outage?

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* 8. What are the best ways for you to receive information about preparing for a disaster? (check all that apply)

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* 9. What is one thing you'd like the Northern Cheyenne Tribe to do to help reduce risk to natural disasters or severe weather events in the future?

For more information about the Northern Cheyenne Tribe Hazard Mitigation Plan please go to the project website: https://jeo.com/nct-hmp 
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