Hurricane Mitigation Strategy Assessment Form

Hurricane Mitigation Strategy Assessment Form
Please complete the assessment to evaluate your hurricane mitigation strategies.
Organization Name
Contact Person
First NameLast Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Location of Facility
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Assessment
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Current Hurricane Mitigation Strategies in Place
Rate the effectiveness of your current strategies
What improvements or additional strategies do you plan to implement?
Do you have an emergency response plan?
How confident are you in your emergency response plan?

1
2
3
4
5
1 is , 5 is Best
Should be Empty: