Sullivan’s Gulch
Emergency Preparedness Survey

Let’s begin.

Help us build our neighborhood plan. Your Neighborhood Emergency Team needs your help assessing our preparedness as a neighborhood for a disaster such as a major fire, wind storm, environmental disaster, or earthquake. Please take 5 minutes to complete this survey. Thank you!

Question Title

* 1. Contact Information

Last Name

First Name

Street address

Email address

Best Phone

Question Title

* 2. May we include your contact information in the NET database in order to send you information on emergency preparedness and periodic updates on our activities?
(Note: Your personal information will be stored in our password-protected contact list and only used by the Sullivan’s Gulch NET to develop its operational plan and when we respond to help neighbors in the event of an disaster. We will never transfer or display this information at any time, except when needed by City of Portland Fire and Police or our NET members when responding during a disaster. )

Yes

No

Question Title

* 3. Have you signed up to receive emergency notifications from the City of Portland’s Public Alerts System? If not, please sign up at PublicAlerts.org.

Yes

No

I will do this right away

Question Title

* 4. Do you have smoke and carbon monoxide detectors on every level of your home?

Yes

No

Question Title

* 5. Do you have a family or emergency plan in case of major disaster? Questions 6 through 18 below help us understand the elements of your plan. If you answer “Yes,” please use these next questions to tell us about your plan. If you answer “No,” please review these questions and answer any that you can.

Yes

No

25% of survey complete.