Emergency Preparedness Needs
This survey will help the Institute on Disabilities plan outreach and training for our community. For your privacy, we are not collecting your name or contact information. If you would like to talk to someone about this survey you can email prepare@temple.edu or call 215-204-1356.
What county do you live in?
Please Select
Adams
Allegheny
Armstrong
Beaver
Bedford
Berks
Blair
Bradford
Bucks
Butler
Cambria
Cameron
Carbon
Centre
Chester
Clarion
Clearfield
Clinton
Columbia
Crawford
Cumberland
Dauphin
Delaware
Elk
Erie
Fayette
Forest
Franklin
Fulton
Greene
Huntingdon
Indiana
Jefferson
Juniata
Lackawanna
Lancaster
Lawrence
Lebanon
Lehigh
Luzerne
Lycoming
McKean
Mercer
Mifflin
Monroe
Montgomery
Montour
Northampton
Northumberland
Perry
Philadelphia
Pike
Potter
Schuylkill
Snyder
Somerset
Sullivan
Susquehanna
Tioga
Union
Venango
Warren
Washington
Wayne
Westmoreland
Wyoming
York
Do you have a disability or medical condition that impacts your daily life?
Yes, I am a person with a disability or access need.
I am a caregiver answering on behalf of a disabled family member.
No, nobody in my home has a disability or access need.
What kind of disability or needs do you have?
Physical disability. It might be hard for me to move quickly in an emergency.
Cognitive or developmental disability. It might be hard for me to understand directions and remember what to do in an emergency.
Vision disability. It might be hard for me to find my way around in an emergency.
Hearing disability. It might be hard for me to get the information I need in an emergency.
Communication-related disability. It may be hard for me to communicate with others in an emergency.
Sensory or behavioral disability. The way I respond to stress in an emergency may be misunderstood by first responders.
What kind of disability or needs do they have?
Physical disability. It might be hard for them to move quickly in an emergency.
Cognitive or developmental disability. It might be hard for them to understand directions and remember what to do in an emergency.
Vision disability. It might be hard for them to find their way around in an emergency.
Hearing disability. It might be hard for them to get the information they need in an emergency.
Communication-related disability. It may be hard for them to communicate with others in an emergency.
Sensory or behavioral disability. The way they respond to stress in an emergency may be misunderstood by first responders.
How old are you?
less than 18
18-25 years old
26-35 years old
36-45 years old
46-55 years old
more than 55 years old
How old is the person with a disability?
less than 18
18-25 years old
26-35 years old
36-45 years old
46-55 years old
more than 55 years old
We are going to ask some questions about your emergency plans. Examples of emergency plans include knowing how to evacuate if there is a fire or having supplies to stay home if there is a snowstorm.
On a scale of 1-5, how do you feel about your safety plans?
1 - Not at all comfortable. I don't have plans that will keep me safe in an emergency.
2 - Somewhat uncomfortable.
3 - Neutral or not sure.
4 - Somewhat comfortable.
5 - Very comfortable. I am confident that I have the support I need to stay safe.
On a scale of 1-5, how do you feel about your safety plans?
1 - Not at all comfortable. We don't have plans that will keep us safe in an emergency.
2 - Somewhat uncomfortable.
3 - Neutral or not sure.
4 - Somewhat comfortable.
5 - Very comfortable. I am confident that we have the support we need to stay safe.
Does your home have 3 days worth of extra canned food and bottled water in case you can't leave home in an emergency?
Yes
No
I'm not sure
Do you have your medical information written down some place you can easily share with others?
Yes
No
I'm not sure
Do you have extra batteries for your medical equipment? example: ventilator, powerchair, communication devices
Yes, I have extra batteries or a generator
No
Not applicable. I don't use any assistive tech or medical equipment that needs electricity.
Do you have extra batteries for any medical equipment? example: ventilator, powerchair, communication devices
Yes, I have extra batteries or a generator
No
Not applicable. We don't use any assistive tech or medical equipment that needs electricity.
How do you learn about emergencies?
I get notifications from a national agency, like FEMA, or from a weather app.
I am signed up for text alerts from a local government agency, such as the city's office of emergency management.
I get updates from neighbors through a community watch app like Ring or Nextdoor.
I don't have a plan for getting timely alerts about emergencies.
Other
What topics would you like to learn more about?
Fire safety
Flood safety
First aid
Safety during storms and power outages
How to stay cool in hot weather
Prevention strategies for covid, flu, and other illnesses
Other
How would you like to learn about safety?
Attend a webinar (30-45 minutes)
Watch a series of short videos (5 minutes or less)
Read a brochure
Listen to a podcast
Attend a presentation or event
Talk to someone one-on-one
Other
Submit
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