Thank you for taking the time to engage in meaningful discussions about disaster preparedness with your friends and neighbors during the Holiday Season! Please take a few minutes to provide some data and feedback from your experience.

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1. Did you complete a disaster plan with other members of your household?

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2. Did you put together a disaster preparedness kit?

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3. Name of all volunteers or staff who participated in educating others about disaster preparedness. (Required.)

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4. City and/or Neighborhood where you talked about disaster preparedness.

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5. With how many people did you discuss disaster preparedness? (Required.)

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6. On average, how long did each conversation last? (Required.)

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7. Overall, how would you gauge the level of interest of those you spoke with?

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8. Please share any success stories or interesting conversation tidbits from your experience

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9. Would you be open to engaging in this type of activity in the future?

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10. Any other feedback on this initiative you are willing to share? Ideas for improvement?

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