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Emergency Preparedness and Resiliency Survey for Alameda County

Thank you for agreeing to participate in this survey. We appreciate your commitment. 

The World Institute on Disability (WID) is a lead agency in global disability inclusion in disasters. We have partnered with The Center for Independent Living (CIL) to support disability-inclusive emergency preparedness in Alameda County. It is important that we understand the experiences and perspectives of people with disabilities in the County and what things can improve the experiences of people with disabilities during a disaster.

We would appreciate it if you took a few minutes to complete this survey.  We are interested in your honest opinion and there are no right or wrong answers. Names are not being collected and we won’t share any of your information with anyone.

If you need assistance or accommodations to complete the survey, please email DisasterHelp@centerforindependentliving.org with your request.

If there is additional information that you would like to share, please watch for upcoming focus groups or listening sessions.

*Please note: your answers to all survey questions should be regarding experiences in Alameda County only.
Definitions

Disaster: An event of a natural catastrophe, technological accident, or human-caused event that has resulted in severe property damage, deaths, and/or multiple injuries.

Public Health Emergency: An event, either natural or manmade, that creates a health risk to the public.
Your Experiences

The following questions are about your previous experiences with disasters and emergencies. We are collecting this information to better understand the lived experiences of people with disabilities in Alameda County.
2. Have you experienced a disaster or emergency that required you to evacuate your home or shelter in place (such as a hurricane, flood, tornado, fire, or extreme winter weather)? *This question is required.
What difficulties did you experience maintaining your health, safety, and independence while evacuating or sheltering in place?  *This question is required.Please select all that apply.
What negative impact did you experience on your health and/or mental health as a result? *This question is required.Please select all that apply.
  • * This question is required.
Have you experienced a personal crisis or emergency, such as a need to call 911, go to an emergency room, or get help from a first responder or other professional? *This question is required.
What difficulties did you experience maintaining your health, safety and independence during this personal crisis or emergency?  *This question is required.Please select all that apply.
What negative impact did you experience on your health and/or mental health as a result? *This question is required.Please select all that apply.
  • * This question is required.
3. Who helped you during the disaster or crisis/emergency experience? *This question is required.Please select all that apply.
4. When you were interacting with people who helped you, what difficulty, if any, did you have getting your accessibility needs met? *This question is required.Please select all that apply.
5. Which accessibility services or supports that you needed were not provided during your experience? *This question is required.Please select all that apply.
  • * This question is required.
6. What went well in terms of meeting your disability needs? *This question is required.Please select all that apply.
Preparedness

The following questions are about your preparedness for a potential disaster or emergency. We are asking these questions to assess the various needs of people with disabilities in Alameda County as they relate to disasters and emergencies.
7. In a disaster or emergency, I expect to get help from: *This question is required.Please select all that apply.
  • * This question is required.
8. Are you prepared for a disaster or an emergency that would require you to evacuate or shelter in place? *This question is required.
Which of the following preparedness activities apply to you? *This question is required.Please select all that apply.
Why do you think you are not prepared?  *This question is required.Please select all that apply.
  • * This question is required.
9. Whether or not you are prepared, disasters might happen. How will you get the information you need to be safe? *This question is required.Please select all that apply.
  • * This question is required.
10. If you have to evacuate to a shelter, what will you need? *This question is required.Please select all that apply.
  • * This question is required.
11. What do you think the shelter will provide for you? *This question is required.Please select all that apply.
  • * This question is required.
Demographics

The following demographic questions were not developed by WID or CIL. They are questions developed by the U.S. Census. We are asking these specific questions so we can compare the data from our survey to Alameda County data.
12. Are you Hispanic or Latino? *This question is required.
13. What is your race? *This question is required.Please select all that apply.
14. What disability(ies) do you have? *This question is required.Please select all that apply.
15. What are your daily functional and health needs? *This question is required.Please select all that apply.
16. Which of the following best describes the geographic area in which you live? *This question is required.
17. Do you have a paratransit service in the area that you live? *This question is required.
Follow-Up

We will be holding a series of focus groups in the near future and would love for you to participate if you are interested. You have the option below to indicate that you are interested and, if so, provide your email address so we can follow up with you. 
18. Are you interested in participating in a focus group session to share more about your experiences and opinions related to emergency preparedness for people with disabilities in Alameda County?  *This question is required.
This question requires a valid email address.
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