Pigeon Point Neighborhood Emergency Communication Hub Survey - June, 2023



About You
1 What is your name?
2 What is your address?
3 What are the best email addresses to use for you?
Skills and Talents
4 Does anyone in your house have experience in 'the trades' that might be of use in a disaster? Construction
Electrical
Plumbing
Other (please describe below)
5 If you have other experience in the trades, please describe.
6 Has anyone in your household had medical training beyond first aid? Please describe.
Your Household
7 What are the names of people living at your address?
8 What are the telephone number(s) of the people in your home (indicate if landline)
9 Does anyone in your home have special mobility or medical needs?
10 Please tell us the number and types of pets living at your address?
11 Please list any languages other than English that are spoken in your home.
Your Home and Equipment
12 Does your home use natural gas? Yes.
No.
Not Sure
13 Do you have any equipment that would be of use to the neighborhood in case of an emergency? Generator
Tall Ladders
Water Purification Equipment
Hand Tools
Heavy Tents
Satellite Phone/Ham Radio Equipment
Portable Defibrillator
Chain Saw
Other (please describe elsewhere in survey)
14 If you have other equipment useful in disaster recovery, please describe.
General
15 Can we contact you about non-emergency neighborhood events? Yes.
No.
16 Would you be interested in being a part of free (or low-cost) neighborhood first aid, CPR or other disaster preparedness workshops? Yes.
No.
17 Have you ever received Disaster Skills training? Yes.
No.
Yes, but it's been a while.
18 Would you like to become more involved with the Emergency Communication Hub, or do you have any particular concerns or questions about the Hub, this survey, or what to do in an emergency? Yes.
No.
19 Is there anything else you'd like to mention??