Hurricane Risk Assessment Questionnaire Form
Use this Hurricane Risk Assessment Questionnaire to evaluate your home's or property's exposure and preparedness for hurricane events.
Property Location (City and State)
*
Type of Property
*
Single-family home
Apartment/Condo
Townhouse
Mobile home
Other
How far is the property from the nearest coastline?
*
Less than 1 mile
1-5 miles
5-20 miles
More than 20 miles
Has the property experienced hurricane damage in the past?
*
Yes
No
Not sure
Which of the following hurricane-resistant features does your property have?
*
Impact-resistant windows/doors
Storm shutters
Reinforced roof
Elevated structure
None of the above
How would you rate your household's overall hurricane preparedness?
*
1
2
3
4
5
Does your household have an emergency evacuation plan?
*
Yes
No
Not sure
How many days of emergency supplies (food, water, medication) do you have on hand?
*
Less than 3 days
3-7 days
More than 7 days
Household Hurricane Readiness Checklist
*
Rows
Yes
No
Flashlights and batteries available
1
2
Important documents secured
3
4
First aid kit ready
5
6
Submit Assessment
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