Adult Preparedness Campaign Survey Question Title * 1. Have you signed up for county alerts? Yes No Question Title * 2. Does your emergency communication plan have: Yes No I don't have an emergency communication plan Emergency contacts Emergency contacts Yes Emergency contacts No Emergency contacts I don't have an emergency communication plan Emergency meeting places Emergency meeting places Yes Emergency meeting places No Emergency meeting places I don't have an emergency communication plan A household phone number and address A household phone number and address Yes A household phone number and address No A household phone number and address I don't have an emergency communication plan Question Title * 3. Does your home emergency preparedness kit have a: Yes No I don't have an emergency preparedness kit Flashlight and extra batteries Flashlight and extra batteries Yes Flashlight and extra batteries No Flashlight and extra batteries I don't have an emergency preparedness kit Portable charger Portable charger Yes Portable charger No Portable charger I don't have an emergency preparedness kit 3-day non-perishable food supply 3-day non-perishable food supply Yes 3-day non-perishable food supply No 3-day non-perishable food supply I don't have an emergency preparedness kit Question Title * 4. How often do you practice your home fire escape plan? Once a year 2+ times a year I don't need to practice I don't have a home fire escape plan Other (please specify) Question Title * 5. What health department/tribal clinic did you participate in for this survey? Ashland Bad River Tribe Barron Buffalo Burnett Chippewa Clark Douglas Dunn Eau Claire Jackson Monroe Pepin Pierce Polk Rusk St. Croix St. Croix Tribe Taylor Trempealeau Washburn Next