General Questionnaire

A questionnaire on the general education, readiness and capability to respond to emergencies and disasters

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* 1. Have you ever personally been involved in an emergency situation before as a result of:

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* 2. How likely do you think the following emergency situations are to happen in our community within the next two years?

  Definitely Will Probably Will Probably Will Not Definitely Will Not
Natural Disaster
Technological/Man-made Disaster
Terrorist Attack
Public Health Emergency

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* 3. An Emergency Action Plan (EAP) is a written document that should detail step-by-step procedures to follow in emergencies and disasters such as structural fire, natural disaster, chemical spill, or a terrorist event. An emergency action plan will include information on who to notify, who should do what, and location of emergency supplies.

Do you currently have an Emergency Action Plan for yourself, your family or loved ones?

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* 4. Do you think you need an Emergency Action Plan for yourself, your family or loved ones?

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* 5. Do you know if information is readily available  within your community to assist you with the development of an Emergency Action Plan

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* 6. Would you create an Emergency Action Plan if the proper training and resources were made available to you?

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* 7. How much time are you willing to invest to develops a working Emergency Action Plan for yourself, your family or loved ones?

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* 8. If you or your family and loved ones were caught in an Emergency or Disaster that you were unprepared for. Who would you turn to for assistance?

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* 9. Who is primarily responsible for your safety, and the safety of your family or loved ones during an emergency or disaster?

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* 10. What additional information on the EAP process would like to have access to?

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