Survey — Disaster Preparedness

Thank you for your interest in disaster preparedness and helping your neighborhood get more prepared. Please complete the survey below. The information will remain confidential and will be used to help MPC Ready get to know you and how we might help you and your neighbors get more disaster prepared.

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Name *

First

Last

Street Address and City

Email *

Phone

What is your neighborhood like today?

• I know 5+ neighbors by name
• I know what 5+ neighbors do for a living
• I keep the neighborhood roster
• Someone else keeps the roster
• My “block” has annual social traditions
• We have other traditions, such as a neighborhood book club

If your neighborhood is "socially" connected, can you tell us about your social traditions? When did it get connected?

Where are you on your Household Preparedness Journey?

• Topic brand new to me
• Just getting started
• Been preparing for 2+ years
• Been preparing for 5+ years
• Could teach seminars on topic

Please check all that applies.

Are you interested in learning more about the Neighborhood Gathering Place Pilot Program?

• I am already in the Pilot Program
• Yes
• Maybe
• Not at this time.

Would you like to be added to the MPC Ready mailing list?

• Yes
• No
• I am already a subscriber

Comments or Questions

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