Pre-Knowledge Survey

Pre-Knowledge Survey

Fire Preparedness & Emergency Readiness | Please complete BEFORE reviewing our materials
Thank you for taking a moment before exploring our materials. This survey helps Glide Revitalization measure the effectiveness of our community education efforts. Takes about 3 minutes. Your responses are anonymous.
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