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* 1. What is your relationship to Peacham? (Check all that apply.)

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* 2. What are your concerns about emergency events in the town?

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* 3. What do you think the community should accomplish to be better prepared for the next emergency event? (Check all that apply.)

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* 4. Have you ever affected by an emergency or event in Peacham? (Check all that apply.)

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* 5. What other thoughts, concerns or suggestions do you have about emergencies, hazards and emergency response in the town?

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* 6. Thank you very much for your input. This survey will help the town better prepare us for the next emergency. If we can contact you with any questions, please provide an email or phone number where we may reach you.

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