* 1. What is the name of your community?

* 2. Was your community affected by Hurricane Harvey?

* 3. How many people live in the community you serve?

* 4. What is your best estimate of the percentage of people in your community that have been displaced following Hurricane Harvey?

* 5. Using your best estimate, what percentage of the structures in your community do you believe were damaged?

* 6. Which sector of your community was most affected?

* 7. Which of the following Floodplain Management resources does your community have?

* 8. Please rank your needs in order of importance.

* 9. Which of the following programs and plans did your community have in place before Hurricane Harvey? Please select all that apply. If you are not sure, please proceed to Question 11.

* 10. What disaster recovery services is your community already receiving?

* 11. The Texas Chapter of the American Planning Association would like to help with your recovery. Please rank the following options from most to least relevant to your unmet recovery needs.

* 12. What type of local and regional organizations are helping with disaster assistance in your community?

* 13. What is the zipcode(s) of the community you serve?

* 14. Would you be interested in learning more about possible volunteer assistance from the American Planning Association?

* 15. Do you have a colleague in another community you think would benefit from volunteer assistance? If so, please share their name and contact information so that we may reach out to them.

* 16. If you would like us to follow up, please enter your name, place of business, an email and phone number where we may contact you.

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