Adult Preparedness Campaign Survey

1.Have you signed up for county alerts?

Yes

No

2.Does your emergency communication plan have:

Yes

No

I don't have an emergency communication plan

Emergency contacts

Yes

No

I don't have an emergency communication plan

Emergency meeting places

Yes

No

I don't have an emergency communication plan

A household phone number and address

Yes

No

I don't have an emergency communication plan

3.Does your home emergency preparedness kit have a:

4.How often do you practice your home fire escape plan?

Once a year

2+ times a year

I don't need to practice

I don't have a home fire escape plan

Other (please specify)

5.What health department/tribal clinic did you participate in for this survey?(Required.)