* 1. At your property in Tippecanoe County, have you ever experienced any of the following disasters (select all that are appropriate)?

* 3. Where did the damage occur?

* 4. Please rank the disasters in order in which you feel they are likely to occur in Tippecanoe County (#1 being most likely to occur).

  1 2 3 4 5 6 7 8 9
Snow Storm
Dam Failure
Ice Storm
Utility Failure
Hazardous Material Spill

* 5. Please check which disasters you feel most apply to you and your current residence (check all that apply)

* 6. Please include any additional information you believe would be helpful to our planning efforts, including ideas for reducing the impacts of natural or manmade disasters.