Pre-Knowledge Survey

Pre-Knowledge Survey

Fire Preparedness & Emergency Readiness | Please complete BEFORE reviewing posted educational materials.
Glide Revitalization is launching a community education campaign focused on emergency preparedness, community resources, and other important local topics. This survey helps us understand what our community already knows before the campaign begins. After our educational content has been shared through social media and other outreach, we'll invite you to complete a follow-up survey so we can measure how effective our efforts have been and identify where more education may be needed.

The survey takes about 3 minutes to complete, and all responses are completely anonymous. Your feedback plays an important role in helping us create better educational resources for our community.

Thank you for helping us make our outreach more effective!
A. About You

(Optional - for grant reporting)
1. What is your zip code?
2. How many people live in your household?
3. Do you live in a rural area (outside of city limits, on acreage, or more than 10 miles from a town center)?
B. Fire Preparedness Knowledge
4. Douglas County uses a three-level evacuation system. What does Level 2 - SET mean?
5. What is the immediate Zone in wildfire home protection?
6. What is the single most important threat to homes during a wildfire?
7. A go-kit should contain enough water for how long, at minimum?
8. How much water should you plan for per person, per day in an emergency kit?
9. Which mask provides the best protection against wildfire smoke?
10. At what AQI level is air considered Unhealthy and should prompt action?
11. What is the first thing to do when a Level 3 - GO evacuation is issued?
C. Your Current Preparedness
12. Do you currently have a go-kit or emergency bag packed at home?
13. Have you identified two routes out of your neighborhood in case of wildfire evacuation?
14. Are you signed up for Douglas County emergency alerts?
15. How prepared do you feel for a wildfire evacuation in Douglas County?

1

2

3

4

5

1 is Not at all prepared, 5 is Very prepared
Information for Go-Bag Drawing
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Enter me in the go-bag kit drawing. I've read the official rules. Offical Rules: https://gliderev.com/preparedness-drawing-rules/
Should be Empty:

Pre-Knowledge Survey

A. About You

B. Fire Preparedness Knowledge

C. Your Current Preparedness

Information for Go-Bag Drawing