OMB No. 1660-0105
Expiration: 01/31/2025
FF-008-FY-21-103 (Telephone)
DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Household Survey on Disaster Preparedness (Telephone)
SECTION I. INTRODUCTION
Hello, my name is [INSERT NAME] and I am calling from [INSERT CONTRACTOR] on behalf of the Federal Emergency Management Agency or FEMA. Your phone number was randomly selected to take a special survey about disaster preparedness and we would like to include your opinions. After an initial screening, this survey should take about 20 minutes to complete and is completely voluntary.
These questions comply with the Privacy Act of 1974 and have been approved by the Office of Management and Budget under number 1660-0105 expiring 1/31/2025 (FEMA Form Numbers: FF-008-FY-21-103, FF-008-FY-22-122). If you have any questions about the survey, email FEMA-Prepare@fema.dhs.gov.
PAPERWORK BURDEN DISCLOSURE NOTICE
Public reporting burden for this data collection is estimated to average 20 minutes per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street. SW, Washington, DC 20472-3100, Paperwork Reduction Project (1660-0105) NOTE: Do not send your completed form to this address.
PRIVACY ACT STATEMENT
AUTHORITY: The Robert T. Stafford Disaster Relief and Emergency Assistance Act as amended, 42 U.S.C. § 5174 and Title 44 C.F.R. Part 206.117.
ROUTINE USE(S): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/FEMA - 008 Disaster Recovery Assistance Files System of Records, 78 Fed. Reg. 25282 (Apr. 30, 2013), and upon written request, by agreement, or as required by law.
SECTION II. HOUSEHOLD MEMBER SELECTION
Have I reached you on a landline phone or a cell phone?
Landline phone
Cellphone
Business line (landline or cell) [if volunteered]
Prefer not to answer
In order to keep our poll random, please think about everyone living in your household age 18 or older. May I speak with the adult who will celebrate the next birthday?
Yes
No
SECTION III. ELIGIBILITY
What is your age?
Under 18
18-19
20-29
30-39
40-49
50-59
60-69
70-79
80+
Prefer not to answer
What is the name of the state or territory you live in?
(____)
I do not live in one of the above states or U.S. territories
What [county] in [state] do you live in?
What is your ZIP Code?
SECTION IV. MAIN SURVEY QUESTIONS
In the last year, which of the following have you worried about? (Select all that apply.)
I have worried about being able to pay my bills
I have worried about having to move out of my home or being displaced from my home
I have worried that a disaster may affect me and my family
I have worried about losing my job or not having a job
I have worried about feeling safe in my neighborhood
I have worried about my health or the health of a family member
I have worried about the impacts of climate change
I have worried about being able to provide food for myself or my family
I have worried about something else (please specify): _______
None of the above
Don’t know
You selected the following concerns. Rank your responses from the concern that worried you the most to the concern that worried you the least, with 1 being your highest concern.
|
|
|
I have worried about being able to pay my bills |
|
I have worried about having to move out of my home or being displaced from my home |
|
I have worried that a disaster may affect me and my family |
|
I have worried about losing my job or not having a job |
|
I have worried about feeling safe in my neighborhood |
|
I have worried about my health or the health of a family member |
|
I have worried about the impacts of climate change |
|
I have worried about being able to provide food for myself or my family |
|
I have worried about something else (please specify): _______ |
|
A “disaster” is an event that could threaten lives, disrupt public or emergency services like water and power, or damage property.
Thinking about preparing yourself for a disaster, which of the following best represents your degree of preparedness?
I am NOT prepared, and I do not intend to prepare in the next year
I am NOT prepared, but I intend to start preparing in the next year
I am NOT prepared, but I intend to get prepared in the next six months
I have been prepared for LESS than a year
I have been prepared for MORE than a year and I continue preparing
Don’t know
In the event of a disaster or emergency, who would you expect support from? (Select all that apply.)
The federal government
Friends or family
Insurance company
Nonprofit organizations
Your place of worship or faith community
State, local, tribal or territorial government
None of the above
Don’t know
In the event of a disaster or emergency, what type of support would you expect from the government? (Select all that apply.)
Childcare assistance
Help with debris clean-up
Financial assistance
Mental health support services
First aid services
Food and water
Short-term sheltering assistance
Assistance with home repairs or housing relocation
Help getting or replacing medication or medical supplies/devices/equipment
Pet care assistance
Search and rescue services
Transportation assistance
None of the above
Don’t know
In the event of a disaster or emergency, what type of support would you expect from non-government organizations? (Select all that apply.)
Childcare assistance
Help with debris clean-up
Financial assistance
Mental health support services
First aid services
Food and water
Short-term sheltering assistance
Assistance with home repairs or housing relocation
Help getting or replacing medication or medical supplies/devices/equipment
Pet care assistance
Search and rescue services
Transportation assistance
None of the above
Don’t know
In the event of a disaster or emergency, how concerned are you about going without the following?
|
|
|
|
|
|
|
Communications services (phone and internet connection, 911 and dispatch, emergency alerts) |
• |
• |
• |
• |
• |
• |
Energy (power grid, gas/fuel) |
• |
• |
• |
• |
• |
• |
Basic needs (food, hydration, shelter) |
• |
• |
• |
• |
• |
• |
Hazardous material management services (for facilities, pollutants, contaminants) |
• |
• |
• |
• |
• |
• |
Health and medical services (medical care, ambulances, medicine, medical supplies, fatality management) |
• |
• |
• |
• |
• |
• |
Safety and security services (law enforcement, fire service, search and rescue, community safety) |
• |
• |
• |
• |
• |
• |
Transportation services (access to highways or roadways, buses, trains, planes) |
• |
• |
• |
• |
• |
• |
Functioning water systems (potable tap water, wastewater management) |
• |
• |
• |
• |
• |
• |
In the last year, which of the following have you read, seen or heard about how to get better prepared for a disaster? (Select all that apply.)
Information about what items to include in an emergency supply kit
Information about property insurance
Information about how to get involved in my community to help prepare for disasters
Information about the evacuation plan or evacuation routes for my area
Information about what to include in an emergency plan
Information about how to protect my home and property from specific hazards
Information about how to help my neighbors during a disaster
Information about how to practice emergency drills for specific hazards
Information about how to protect important documents from damage
Information about saving money for an emergency
Information about how to sign up for alerts and warnings
Information about how to keep in contact with family members during a disaster
None of the above
Don’t know
How did you get the information that you read, saw, or heard about how to get better prepared for a disaster? (Select all that apply.)
TV
Radio
Text, phone call, or mobile alert
Social media (such as Facebook; Instagram; Tik Tok; YouTube; X, formerly Twitter)
Internet, other than social media (such as news websites, online publications)
Printed publications (such as newspapers, magazines, brochures, flyers)
In person, directly from an individual
Other (please specify): _______
None of the above
Don’t know
Do you trust the following sources to provide you with disaster preparedness information and guidance?
|
|
|
|
|
Your utility company (electric, gas, water, waste management)? |
• |
• |
• |
The federal government (such as the Federal Emergency Management Agency, the Ready Campaign, the Centers for Disease Control and Prevention, the National Weather Service)? |
• |
• |
• |
News outlets? |
• |
• |
• |
Nonprofit organizations or community groups? |
• |
• |
• |
Your personal network (friends, family, peers, neighbors)? |
• |
• |
• |
Your state and local officials (governor, mayor, town or city council member, etc.)? |
• |
• |
• |
Your place of worship or community faith leaders? |
• |
• |
• |
What information would help you become more prepared for a disaster? (Select all that apply.)
Information about how local officials and emergency response personnel respond to disasters in my area
Information about the types of threats and risks to my community
Information about how to protect my property from potential damage
Information about the evacuation plan for my area and maps showing the evacuation route(s)
Information about what to take with me during an evacuation
Information about where to shelter safely
Information about how to help others who need assistance to prepare for an emergency (especially children, older individuals, people with disabilities)
Information about what basic supplies to have set aside in case of an emergency
Information about how to create an emergency plan and what information to include in the plan
Information about something else (please specify): ___________
None of the above
Don’t know
Different areas of the country are subject to different types of disasters. Please identify the types of natural disasters that would have the biggest impacts where you live. (Select all that apply.)
Avalanche
Drought
Earthquake
Extreme heat
Flood (coastal, flash, inland, riverine)
Hurricane
Landslide
Pandemic
Space weather
Thunderstorm
Tornado
Tsunami
Typhoon
Volcanic eruption
Wildfire
Winter storm
None of the above
Don’t know
Different areas of the country are subject to different types of disasters. Please identify the types of human-caused disasters that would have the biggest impacts where you live. (Select all that apply.)
Active shooter
Biological attack
Chemical attack
Chemical emergency
Cyberattack
Dam failure
Electromagnetic pulse (EMP)
Explosion
Financial emergency
Food or water contamination
HAZMAT (hazardous material) release
Home fire
Nuclear explosion
Power outage
Radiological attack
Radiological emergency
Terrorist attack
Utility interruption
None of the above
Don’t know
Based on where you live, how likely would it be for a disaster to impact you?
Slightly likely to impact me
Somewhat likely to impact me
Very likely to impact me
Extremely likely to impact me
Don’t know
How much would taking action to prepare help you get through a disaster in your area?
It would not help me at all
It would help me a little
It would help me somewhat
It would help me quite a bit
It would help me a great deal
Don’t know
How confident are you that you can take action to prepare for a disaster in your area?
Not at all confident
Slightly confident
Somewhat confident
Very confident
Extremely confident
Don’t know
Have you or your family ever experienced the impacts of a disaster?
What type(s) of natural disaster(s) have you or your family experienced? (Select all that apply.)
Avalanche
Drought
Earthquake
Extreme heat
Flood (coastal, flash, inland, riverine)
Hurricane
Landslide
Pandemic
Space weather
Thunderstorm
Tornado
Tsunami
Typhoon
Volcanic eruption
Wildfire
Winter storm
None of the above
Don’t know
What type(s) of human-caused disaster(s) have you or your family experienced? (Select all that apply.)
Active shooter
Biological attack
Chemical attack
Chemical emergency
Cyberattack
Dam failure
Electromagnetic pulse (EMP)
Explosion
Financial emergency
Food or water contamination
HAZMAT (hazardous material) release
Home fire
Nuclear explosion
Power outage
Radiological attack
Radiological emergency
Terrorist attack
Utility interruption
None of the above
Don’t know
Does your household have a plan for what to do in the event of an emergency?
Yes
No
Don’t know
Does your emergency plan include the following?
|
|
|
|
|
Information about ways you can receive emergency alerts and warnings? |
• |
• |
• |
A reminder to check your emergency supplies kit and make sure it is ready? |
• |
• |
• |
Information about how to leave your community and a safe place you can go in the event of an evacuation? |
• |
• |
• |
Information about where to shelter safely if it is safer to shelter in place? |
• |
• |
• |
A process for your household members to communicate with each other if you are not together when the disaster happens? |
• |
• |
• |
Are you signed up to receive real-time alerts and warnings for disasters in your community?
Yes
No
Don’t know
How do you expect to receive real-time alerts and warnings for disasters in your community? (Select all that apply.)
TV
Radio
Text, phone call, or mobile alert
Social media (such as Facebook; Instagram; Tik Tok; YouTube; X, formerly Twitter)
Internet, other than social media (such as news websites, online publications)
Printed publications (such as newspapers, magazines, brochures, flyers)
In person, directly from an individual
Other (please specify): _______
None of the above
Don’t know
Do you have a plan for how to contact your family members in the event of an emergency?
Yes
No
Don’t know
Do you have a plan for how to communicate with neighbors during a disaster?
Yes
No
Don’t know
Do you know the planned evacuation routes for exiting your community in the event of an evacuation?
Yes
No
Don’t know
If local officials issued a mandatory evacuation order for your community, would you evacuate the area?
Yes
No
Don’t know
If you had to evacuate due to a disaster or emergency, how would you evacuate? (Select all that apply.)
I would drive my own vehicle
I would get a ride with friends or family
I would take a taxi or ride share service
I would take a bus or train
I would take a ferry or water taxi
I would leave another way (please specify): _______
Don’t know
If you had to evacuate due to a disaster or emergency, where would you go? (Select all that apply.)
I would stay with family or friends
I would go to a hotel or motel
I would go to a public shelter
I would go somewhere else (please specify): _______
Don’t know
What is the main reason(s) you would not evacuate the area? (Select all that apply.)
I don’t have transportation
I would be worried about my personal safety or my family’s safety
I don’t want to leave my home
I would be worried about my health or a family member’s health (access to medication, medical equipment, etc.)
I don’t have a place to go
I would be concerned about the cost to stay somewhere else
I can’t evacuate my animals/pets and don’t want to leave them behind
I would not evacuate for a different reason (please specify): _______
None of the above
Don’t know
Do you have emergency supplies (such as water, non-perishable food, a flashlight, first aid kit, etc.) set aside to use in the event of an emergency?
Yes
No
Don’t know
How long will your emergency supplies last before you run out?
Up to 3 days
4 to 7 days
More than 1 week, up to 2 weeks
More than 2 weeks, up to 1 month
More than 1 month, up to 3 months
More than 3 months
Don’t know
How long could you live in your home without running water?
Less than 1 day
1 to 3 days
4 to 7 days
More than 1 week, up to 2 weeks
More than 2 weeks, up to 1 month
More than 1 month, up to 3 months
More than 3 months
Don’t know
During warmer temperatures, how long could you live in your home without power?
Less than 1 day
1 to 3 days
4 to 7 days
More than 1 week, up to 2 weeks
More than 2 weeks, up to 1 month
More than 1 month, up to 3 months
More than 3 months
Don’t know
During colder temperatures, how long could you live in your home without power?
Less than 1 day
1 to 3 days
4 to 7 days
More than 1 week, up to 2 weeks
More than 2 weeks, up to 1 month
More than 1 month, up to 3 months
More than 3 months
Don’t know
Do you have money set aside in case of an emergency?
Yes
No
Don’t know
How much money have you set aside in case of an emergency?
Less than $100
Between $100 and $250
Between $250 and $500
Between $500 and $750
Between $750 and $1,000
More than $1,000
Don’t know
Do you have homeowners or renters insurance?
Yes
No
Don’t know
Do you have the following types of separate hazard-specific insurance coverage?
|
|
|
|
|
Flood insurance (through the National Flood Insurance Program or a private insurance company)? |
• |
• |
• |
Earthquake insurance? |
• |
• |
• |
Hurricane insurance? |
• |
• |
• |
Tornado insurance? |
• |
• |
• |
Volcanic eruption insurance? |
• |
• |
• |
Wildfire insurance? |
• |
• |
• |
Are your important documents (such as your mortgage or lease paperwork, insurance information, banking information) stored either in a fireproof, waterproof container OR stored electronically?
Yes
No
Don’t know
Which of the following improvements (if any) have you made to your home or property to make it safer? (Select all that apply.)
Elevated utilities and service equipment (such as heating, ventilation, and air conditioning unit, hot water heater)
Installed flood vents or sump pumps to reduce flood damage
Elevated electric service panels (such as fuse and circuit breaker boxes, outlets, switches)
Replaced the roof or updated roofing materials (such as heat-resistant or hail resistant material)
Installed a whole house generator
Installed hurricane shutters onto windows
Built a storm shelter or safe room
Installed fire reducing systems (such as indoor and outdoor sprinklers)
Anchored rooftop equipment (such as a satellite dish, heating, ventilation, or air conditioning unit)
Updated landscaping to create buffer zones, contain mudflow, or improve drainage
Other (please specify): ___________
None of the above
Don’t know
In the last year, did you participate in any emergency drills (such as an evacuation drill, a shelter in place drill, The Great Shakeout earthquake drill, a tornado drill)?
Yes
No
Don’t know
In the last year, did you volunteer to help your community prepare for an emergency?
Yes
No
Don’t know
What motivated you to prepare for a disaster or emergency? (Select all that apply.)
I thought a disaster or emergency would likely happen in my community
It was my responsibility to take care of my family during a disaster or emergency
I wanted to ensure the safety of myself and my family in a disaster or emergency
Someone I know encouraged me to prepare for a disaster or emergency
I had experienced a disaster before and wanted to be better prepared next time
Disasters in other places made me realize that I needed to prepare for a disaster or emergency
I prepared for a different reason (please specify): _______
None of the above
Don’t know
You selected the following reasons that motivated you to prepare. Rank your responses from the reason that motivated you the most to the reason that motivated you the least, with 1 being your highest motivation.
|
|
|
I thought a disaster or emergency would likely happen in my community |
|
It was my responsibility to take care of my family during a disaster or emergency |
|
I wanted to ensure the safety of myself and my family in a disaster or emergency |
|
Someone I knew encouraged me to prepare for a disaster or emergency |
|
I had experienced a disaster before and wanted to be better prepared next time |
|
Disasters in other places made me realize that I needed to prepare for a disaster or emergency |
|
I prepared for a different reason (please specify): ___________ |
|
What challenges have kept you from taking additional actions to prepare for a disaster or emergency? (Select all that apply.)
I don’t know what else to do
I need assistance due to my disability or health condition or a household member’s disability or health condition
I don’t think that doing more to prepare will matter or help me get through a disaster
I haven’t had time to prepare more
I think that doing more to prepare will cost too much
I don’t want to put forth the effort to prepare any more than I already have
Other (please specify): _______
None of the above
Don’t know
You selected the following reasons that kept you from preparing more. Rank your responses from the top reason that kept you from preparing more to the bottom reason, with 1 being the top reason.
|
|
|
I don’t know what else to do |
|
I need assistance due to my disability or health condition or a household member’s disability or health condition |
|
I don’t think doing more to prepare will matter or help me get through a disaster |
|
I haven’t had time to prepare more |
|
I think that doing more to prepare will cost too much |
|
I don’t want to put forth the effort to prepare any more than I already have |
|
Other (please specify): ___________ # Optional open response # |
|
What has kept you from preparing for a disaster or emergency? (Select all that apply.)
I don’t know what to do
I need assistance due to my disability or health condition or a household member’s disability or health condition
I don’t think preparing will matter or help me get through a disaster
I haven’t had time to prepare for a disaster
I think getting prepared will cost too much
I don’t think a disaster will impact me
I don’t want to put forth the effort to prepare
I haven’t prepared for a different reason (please specify): _______
None of the above
Don’t know
You selected the following reasons that kept you from preparing. Rank your responses from the top reason that kept you from preparing to the bottom reason, with 1 being the top reason.
|
|
|
I don’t know what to do to prepare for a disaster |
|
I need assistance due to my disability or health condition or a household member’s disability or health condition |
|
I don’t think it will help me get through a disaster |
|
I haven’t had time to prepare for a disaster |
|
I think getting prepared will cost too much |
|
I don’t think a disaster will impact me |
|
I don’t want to put forth the effort to take any preparedness actions |
|
I haven’t prepared for a different reason (please specify): ___________ |
|
In the last year, did you move to a different home?
Yes
No
When deciding to move, did you think about what hazards could affect the home(s) you were considering moving to?
Yes
No
Did you know where to find information about the hazards that could affect the home(s) you were considering moving to?
Yes
No
After you thought about the hazards, did that affect your decision about where to move?
Yes
No
When deciding to move, did you think about how the impacts of climate change could affect the home(s) you were considering moving to?
Yes
No
After you thought about the impacts of climate change, did that affect your decision about where to move?
Yes
No
For the home(s) you were considering moving to, did you check which building codes the home(s) were built to?
Yes
No
Did you know where to find the information about the building codes the home(s) were built to?
Yes
No
After reviewing the building codes, did that affect your decision about where to move?
Yes
No
In the last year, did you remodel any part of your home (for example, replace the windows, refinish the basement, etc.)?
Yes
No
When deciding to remodel your home, did you think about what hazards could affect your home?
Yes
No
After you thought about the hazards, did that affect any decisions you made about remodeling?
Yes
No
When deciding to remodel your home, did you think about how the impacts of climate change could affect your home?
Yes
No
After you thought about the impacts of climate change, did that affect any decisions you made about remodeling?
Yes
No
When deciding to remodel your home, did you consider the potential discounts you could receive on homeowners’ insurance by remodeling?
Yes
No
After considering the potential discounts on homeowners’ insurance, did that affect any decisions you made about remodeling?
Yes
No
Are you of Hispanic, Latino or Spanish origin?
Yes
No
Don’t know
Prefer not to answer
Which of the following describes your race? You may select one or more.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other (please specify):
Don’t know
Prefer not to answer
If applicable, please indicate the name of your Tribal Nation(s) or indigenous peoples with which you identify. You may enter multiple separated by commas.
[Enter text]
Not applicable
Don’t know
Prefer not to answer
Have you ever experienced obstacles in accessing preparedness services because of your racial or ethnic identity?
Yes
No
Don’t know
How much has your racial or ethnic identity influenced you to prepare for an emergency or disaster?
My racial or ethnic identity has not influenced me to prepare
My racial or ethnic identity has influenced me a little to prepare
My racial or ethnic identity has somewhat influenced me to prepare
My racial or ethnic identity has influenced me quite a bit to prepare
My racial or ethnic identity has influenced me a great deal to prepare
Don’t know
What sex were you assigned at birth, on your original birth certificate?
Female
Male
Don’t know
Prefer not to answer
What is your current gender?
Woman
Man
Transgender
Two-Spirit
I use a different term (please specify): ____
Don’t know
Prefer not to answer
Do you, personally, self-identify as LGBTQIA+?
Yes
No
Don’t know (undecided)
Prefer not to answer
Have you ever experienced obstacles in accessing preparedness resources or services because of your LGBTQIA+ identity?
Yes
No
Don’t know
How much has your identity as LGBTQIA+ influenced you to prepare for an emergency or disaster?
My identity as LGBTQIA+ has not influenced me to prepare
My identity as LGBTQIA+ has influenced me a little to prepare
My identity as LGBTQIA+ has somewhat influenced me to prepare
My identity as LGBTQIA+ has influenced me quite a bit to prepare
My identity as LGBTQIA+ has influenced me a great deal to prepare
Don’t know
Do you consider yourself affiliated with or a member of an organized religion or spiritual practice?
Yes
No
Don’t know
Prefer not to answer
What religion or spirituality are you a member of or affiliated with? (Select all that apply.)
Buddhism
Christianity
Hinduism
Islam
Judaism
Another religion or spirituality (please specify): ______
Prefer not to answer
Do you consider yourself to be a religious minority?
Yes
No
Don’t know
Have you ever received information about disaster preparedness from an organization connected to your religion or spirituality?
Yes
No
Don’t know
Have you ever experienced obstacles in accessing preparedness resources or services because of your religious or spiritual identity?
Yes
No
Don’t know
How much has your religious or spiritual identity influenced you to prepare an emergency or a disaster?
My religious or spiritual identity has not influenced me to prepare
My religious or spiritual identity has influenced me a little to prepare
My religious or spiritual identity has somewhat influenced me to prepare
My religious or spiritual identity has influenced me quite a bit to prepare
My religious or spiritual identity has influenced me a great deal to prepare
Don’t know
What is the highest level of education you have completed?
Less than high school diploma
High school degree or diploma
Some college, no degree
Associate degree
Bachelor’s degree
Post graduate work/degree or professional degree
Don’t know
Prefer not to answer
What is your current employment status?
I am currently employed
I am currently unemployed
I am retired
I am not in the labor force, and not retired (such as a student, stay-at-home spouse, etc.)
Prefer not to answer
Do you have a disability (such as a mobility, hearing, vision, cognitive, or intellectual disability) or a health condition (such as a physical, mental, or health condition) that might affect your ability to respond to an emergency situation?
Yes
No
Don’t know
Prefer not to answer
Do you currently live with or have primary responsibility for assisting an older adult or someone with a disability (such as a mobility, hearing, vision, cognitive, or intellectual disability or a physical, mental, or health condition) who requires assistance?
Yes
No
Don’t know
Prefer not to answer
Including yourself, how many adults live in your household?
(____)
How many household members are children under the age of 18?
(____)
Do you rent or own your home?
Rent
Own
Other (please specify): _______
Don’t know
What best describes the type of home you live in?
I live in a multi-unit apartment complex or condo with a basement
I live in a multi-unit apartment complex or condo without a basement
I live in a single-unit home with a basement
I live in a single-unit home without a basement
I live in a mobile home or manufactured home
I live in another type of home (please specify): _______
Don’t know
How much do you spend each month on rent or mortgage?
$0
$1 - $500
$501 - $750
$751 - $1,000
$1,001 - $1,500
$1,501 - $2,000
$2,001 - $2,500
$2,501 - $3,000
More than $3,000
Don’t know
Which of the following describes your total ANNUAL household income before taxes? Please include income from wages and salaries, remittances from family members living elsewhere, farming, and all other sources.
Less than $10,000
$10,000 to $14,999
$15,000 to $24,999
$25,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150,000 to $199,999
$200,000 or more
Don’t know
Prefer not to answer
Thank you for taking the time to answer the National Household Survey on Disaster Preparedness. Your input is vital to helping the nation prepare for emergencies and disasters.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |