Tangitu Bay Watch survey

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* 1. How well are you prepared?
In an emergency will you have the following items in your household?

Drinking water (10 litres per person)

Radio and torch with spare batteries (or wind up)

First aid kit and essential medicines

Non-perishable food

Food, formula and drinks for babies

Toilet paper and large rubbish bags

Blankets or sleeping bags

Wind and waterproof clothing

Sun hats, sunscreen

Strong outdoor shoes

A primus or gas barbeque to cook on

Pet supplies

Face and dust masks

Emergency getaway kit in case of eveacuation

Do you have an emergency plan for you household and your pets?

Do you have friends or family living locally that could help you/you could help in an emergency?

Do you know where you would meet if you can't get home?

Do you know who would collect your children if you can't get to their school?

Do you have an evacuation plan in the event of a tsunami?

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* 2. How can you help others in your community?
Do you have any of the following items that you could provide in an emergency?

4WD

Trailer

Boat

Caravan

Quad Bike

Tractor

Generator

Chainsaw

Pump

Lighting

Fuel

Other (please specify)

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* 3. Skills?
Do you have any of these skills that could help your community in an emergency?

Medical

Labour

Trade

Machine Operator

Emergency Services

Comms

Other (please specify)

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* 4. Your Household (1 of 3)
Your details (optional):

Name

Home Phone

Cellphone

Home Address

Home Address 2

Email Address

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* 5. Your Household (2 of 3)
Total People

No. of Adults (18+)

No. of Children

Ages

School

No. Children at School

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* 6. Your Household (3 of 3)
Will you need help in an emergency?

I have someone in my household who will need extra assistance

I rely on medications or equipment

I require assistance to evacuate

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* 1. How well are you prepared?In an emergency will you have the following items in your household?

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* 2. How can you help others in your community?Do you have any of the following items that you could provide in an emergency?

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* 3. Skills?Do you have any of these skills that could help your community in an emergency?

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* 4. Your Household (1 of 3)Your details (optional):

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* 5. Your Household (2 of 3)Total People

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* 6. Your Household (3 of 3)Will you need help in an emergency?

* 1. How well are you prepared?
In an emergency will you have the following items in your household?

* 2. How can you help others in your community?
Do you have any of the following items that you could provide in an emergency?

* 3. Skills?
Do you have any of these skills that could help your community in an emergency?

* 4. Your Household (1 of 3)
Your details (optional):

* 5. Your Household (2 of 3)
Total People

* 6. Your Household (3 of 3)
Will you need help in an emergency?