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* 1. Please indicate your jurisdiction:

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* 2. Are you responding as:

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* 3. Have you ever experienced or been impacted by a disaster?

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* 4. How concerned are you about the possibility of your neighborhood being impacted by a disaster?

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* 5. How concerned are you about the possibility of your neighborhood being impacted by a disaster?

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* 6. Do you have flood insurance?

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* 7. If you do not have flood insurance, why not?

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* 8. What is the most effective way for you to receive information about how to protect your family and prepare your home from hazard events?

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* 9. Please rank the following hazards according to the degree of threat faced by your community. One (1) represents the highest/greatest threat and ten (10) represents the lowest/least threat. Use each number once.

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* 10. Is there another significant natural hazard that is a threat to your neighborhood that is not listed above?

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* 11. Have you or your community taken any actions to make your home or
neighborhood more resistant to hazards?

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