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

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, when did it become so?

Where are you on your 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.

Would you like to meet more neighbors via considering the role of a Block Coordinator?

• I am already a Block Coordinator
• 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

Please let us know the area where you live:

• Atherton
• East Palo Alto
• Menlo Park
• North Fair Oaks
• Portola Valley
• Woodside
• Other areas

Street Location

Street location gives MPC Ready the ability to better connect (with permission) you with others, and to provide more specific information and help.

Comments or Questions

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