Personal Disaster Preparedness Assessment

PERSONAL DISASTER PREPAREDNESS ASSESSMENT

FIRST STEPS TO GETTING PREPARED
Name

First NameLast Name
Email
example@example.com

Identify your "To-Do List" in order to keep you, your family and animals safe.

	Yes	No	Maybe	N/A
If a disaster were to strike tomorrow, do you feel adequately prepared?
Do you know the difference between a voluntary and mandatory evacuation order?
In case of a wildfire, have you done everything you can to make your home fire resistant?
Do you know what emergency resources you can rely on for help and accurate information?
Do you have a Go Bag of essential items to sustain your household for at least 3 days?
Do you have a way to remind yourself to evacuate with glasses, medications or health aids?
Have you set aside 3 days of clothes for each person to take with them when you evacuate?
Have you identified your most treasured possession to take when you evacuate?
Do you keep enough gas in your car to reach a safe location during an evacuation?
If your car won’t start, do you have an agreement to be picked up by someone?
If you don’t have transportation, do you have an agreement to be picked up by someone?
Do you know what the last things you should do before you leave your home?
Have you identified multiple escape routes to get to safety?
Do you know where you would go when you evacuate?
Do you have a designated meeting place if all house members are not home to evacuate?
Do you have a way to transport any animals you have?
If you can’t transport all your animals, do you have an agreement with someone to help you?
If you can’t catch or locate all your animals, do you know what to do?
Do you know where you would take any animals you have when you evacuate?
If you are not home to evacuate, have you arranged for someone to get your animals?
Do you know the important people you should call after you evacuate?
Do you have money set aside just to be used if you evacuate during a disaster or emergency?
Do you have Renters/Fire Insurance?
If you have insurance, do you know if you have enough coverage?

How do you feel after completing this assessment?

PreparedSomewhat preparedNot prepared at allOverwhelmedScared
May we share the result of this assessment with our partners in order for all of us to learn how to better serve the communities we serve. Your information will never be sold or given to anyone outside of our partners.

YesShare only assessment answersNo

PERSONAL DISASTER PREPAREDNESS ASSESSMENT

Now What?