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2021 Disaster & Emergency Readiness Survey

The California Foundation for Independent Living Centers (CFILC), Disability Disaster Access & Resources (DDAR) program needs your help to document disaster and emergency-related successes and gaps in your community, including electricity company shutoffs. Please assist us by filling out this important survey and passing it on to others. Thank you for your feedback!
1.What disability do you most identify with?
2.Which age group describes you?
3.Does your disability require you to use electricity-powered medical equipment or assistive technology on a daily basis?
4.If yes, what electricity-powered medical devices or technology do you require access to on a daily basis?
5.Is your disability affected by the temperature of your environment? 
6.Does your disability require you to take medication that needs refrigeration?
7.Does your disability require you to have access to refrigerated foods?
8.Do you require the use of an elevator to access and leave your home?
9.Do you use any of the following types of transportation options?
10.Which best describes your current personal emergency preparedness level?
11.Do you have a personalized emergency preparedness plan?
12.If you experienced a disaster or emergency, including an electricity company shutoff that lasted anywhere between 4 hours to 3 days, what resources would you immediately need that you do not currently have access to?
13.Compared to 2019, how prepared are you for a disaster or emergency including an electricity company shutoff this year?
14.Who is your electricity provider?
15.Are you enrolled in your utility company’s medical baseline or critical care program?
16.Are you aware of the resources that your electricity company provides to people with disabilities and older adults to assist during electricity outages?
17.Are you in enrolled in your electricity company's electricity outage alert and notification system?
18.Are you enrolled in your county's emergency alert and notification system?
19.Please fill out if we can contact you to gather additional information:
Current Progress,
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