Tornado Evacuation Survey Form
Please complete this survey to help us understand your household's preparedness and needs for tornado evacuation.
What is your current location?
*
Please Select
Urban (city or large town)
Suburban (residential area outside a city)
Rural (small town or countryside)
Mobile/Temporary (RV, trailer, etc.)
Other
How prepared do you feel your household is for a tornado evacuation?
*
Not prepared at all
1
2
3
4
Fully prepared
5
1 is Not prepared at all, 5 is Fully prepared
What is your household's current tornado shelter plan?
*
Shelter in a designated safe room/basement at home
Shelter at a community tornado shelter
Stay with friends or family nearby
No current shelter plan
Other
How many people are in your household?
*
What transportation options do you have for evacuation? (Select all that apply)
*
Personal vehicle
Carpool with others
Public transportation
Assistance needed for transportation
Other
How would you prefer to receive emergency evacuation updates?
*
Text message (SMS)
Phone call
Email
Social media
Other
Do you have pets that would need to be evacuated with you?
*
No pets
Yes – dog(s)
Yes – cat(s)
Yes – other animals
Does anyone in your household have accessibility needs for evacuation? (Select all that apply)
*
Wheelchair or mobility device
Hearing impairment
Vision impairment
Assistance with communication
No accessibility needs
Other
Please rate your confidence in knowing your local tornado evacuation routes.
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Do you have any concerns or comments about tornado evacuation in your area?
Submit Survey
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