Form FEMA Form 142-1-4 FEMA Form 142-1-4 Anniston Site Survey

DEPARTMENT OF HOMELANDSECUFHTY
FEDERAL EMERGENCY MANAGEMENTAGENCY
O.M.B. Control No. 1660-0057
ANhJlNSTON SITE SURVEY
Expires April 30,2008
CSEPP Public Affalrs IPT Questlonnalre
PAPERWORK BURDEN DlSCLOHlW NOTICE
Publi reporting burden for thls form is estimated to average 25 hours per response. The T h e n estimate Includes the time for reviewing instwctlons.
searchimg existing data suurces,girtherlng and malntalnlngthe data needed, and completing and subrnlttlngthb form. You are not regulred to respond to
this cdlertlon of !&mation unless tt dlspbys a valW OM6 cMtrol numbcr. knd comments rcgudlng the accuracy of the burden esttlmate and any
suggestions for tedwlng the burden to: lnformatlonCollections Management Departmentof Homeland Security, Federal Emergency Management Agency,
500C Street SW. Washington. DC 20472 and Papemark Reduction Pmject (16MM057). Not= DOnot und your cornplotad fwmto thlr mddrru.

ALL CAPS: htructions for the people that wilt be making the survey calls and for the survey
administrator.
General Introduction...
Hello, this is (FIRST A N D LAST NAME) of CR Dynamics, working with the Federal
Emergency Management Agency on behalf o f your local emergency preparedness providers.
We are not selling anything. We are cotlducting a survey among people living near the Anniston
Army Depot. This survey has been approved by the Ofice of Management and Budget (OMB)
and has an estimated response time af 10 to 15 minutes. Your participation 1s strictly voluntary.
Do y s u have a few minutes to answer a few questions?

IF YES: Are you 18 years of age or older?

IF NO:Is there someone else I can talk to who is 18 years of age or older?
TF L'NAVATLABLE SCHEDULE CALLBACK AND TERMINATE.
PLEASE COLLECT THE h I E R OF CALL5 TERMINATED AS "LANGUAGE
BARRJER" AND PROVIDE THIS NUMBER TO THE ALABAMA PIOS
SKLP S1 AND S2 FOR CLEBURNE COUNTY TELEPHONE NUMBERS.
SI. Do you live in (NAME OF COUNTY PROVIDED BY F P S CODE) County?
1.
2.

S2.

Yes (SKIP S2)
No

IF NO: What county do you live in?
1.

2.
3.
4.
5.
6.
7.

Calhoun
Clay
Clebume
Etowah
St. Clair
TaIladega
None of the above counties TERMINATE CALL

1.

Are you aware of the chemical agents that are being destroyed at the Anniston Army
Depot?
1.
2.
3.

2.

How would you know if there were a chemical emergency at the Anniston h y Depot?
(DON'T READ, CATEGORIZE RESPONSE AS FOLLOWS, ACCEPT MULTIPLE
RESPONSES)
1.
2.
3.
4.
5.
6.
----97.
99.

3.

Yes
No
(ENTER VERBATIM COMMENTS TO THIS QUESTION IN ADDITION TO
RESPONDENT'S YES/NO RESPONSE)

AM/FM radio
FamilyIFriend
SiredLoudspeaker
Tone alert radio (TAR)
Television
Weather radio
Other (PLEASE SPECIFY)
Don't know

What actions would you take if you found out there was a chemical emergency at the
Anniston Army Depot? (DON'T READ, CATEGORIZE RESPONSE AS FOLLOWS,
ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Are there any other actions you would take?
Await instructions to shelter in place, evacuate, or stand-by.
Contact familylfriends
Evacuate
Go to work (depot, hospital, fire dept, police)
Shelter in place
Turn odlisten to AM/FM radio
Turn odWatch television
Other (PLEASE SPECIFY)
Nothing
Don't know

4.

If you were instructed to shelter in place, what actions would you take? (DON'T READ,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Are there any other actions you would take to shelter in place?
Close doors and windows
Close heatingair conditioning vents
Contact familylfriends
Emergency planlFamily emergency plan
Evacuate
FindJGather family
Follow instructions1Do what told
Get foodlwater supply
Go insidelstay inside
Go into shelter room of your home/workplace
Get supplies (clothes/cell phonelbooWcandleslgames/medicinelflashlight,ect)
Go to work (depot, hospital, fire dept, police)
HystericayPanic/Die
KneeVPray
Listen to radio1TV for hrther instructions
Locate/collect pets
Lock doors and windows
Seal doors and windows of shelter room
Take radio1TV into shelter room
Turn off heatindair conditioning systems
Use emergency kit
Use shelter-in-place kit
.----

Other (PLEASE SPECIFY)
Nothing
Don't know
How would you know it would be safe to stop sheltering-in-place? (DON'T READ,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
AM/FM radio
Chemical Stockpile Emergency Preparedness Program (CSEPP) Office
FamilyRelative
Fire department
FriendfNeighbor
Local emergency management agency (EMA)
Police
Sheriffs department
Siren
Tone alert radio (TAR)
Television
Weather radio

6.

13.

Work

97.
99.

Other (PLEASE SPECIFY)
Don't know

If you were instructed to evacuate, what actions would you take? (DON'T READ,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
WAIT AND ASK: Are there any other actions you would take to evacuate?
1.
Await instructions1Listen for help
Contact family members before leaving
2.
3.
Check wind direction
4.
Do not have transportation
Evacuate in a specific direction
5.
Evacuate to a specific destination
6.
7.
Evacuate using specific route
8.
Follow instructions/Do what told
9.
Gather family
GetICheck calendar
10.
11.
GetICheck preparedness kitlpacketlpamphlet
12.
Getkids(notfromschoo1)
13.
Get kids from schoolIGo to school for kids
14.
Get personal items (pack clothes, food, water, gas)
15.
Go to work (depot, hospital, fire dept, police)
16.
Leave home or workplace1Get out of town/Get in car and go
17.
Listen to TVIradioltone alert radio for correct evacuation route
18.
Listen to TVIradioltone alert radio for location of reception/assistance center
19.
Listen to TVIradioltone alert radio (general)
Locate/collect pets
20.
21.
Need evacuation assistance
22.
Tell neighbors and others to evacuate
23.
Turn off heatingiair conditioning systems
24.
Turn on TVIradioltone alert radio (general)
25.
Wait for family members before leaving
26.
Would not evacuate
----------97.
Other (PLEASE SPECIFY)
98.
Nothing
99.
Don't know

7.

In the event of an evacuation, do you have a pre-planned direction, route or destination?
(DON'T READ, ACCEPT MULTIPLE RESPONSES)
1.
2.
3.
4.
5.
97.

8.

Yes, direction
Yes, route
Yes, destination
No, none
Depends on the wind direction
Other (PLEASE SPECIFY)

If a chemical accident occurred at the Anniston Army Depot, where would you get
instructions on how to protect yourself and your family when you hear the warning
signals? (DON'T READ, CATEGORIZE RESPONSE AS FOLLOWS, ACCEPT
MULTIPLE RESPONSES)
911
AM/FM radio
Anniston Army Depot
Anniston Chemical Demilitarization Community Outreach Office/Outreach
Office
5.
Calendar
6.
FamilyIFriends
7.
School
Information received through the mail
8.
Local emergency management agency (EMA)
9.
10.
Newspaper
11.
Preparedness kit/package
12.
Pamphlet/Brochure
13.
Police, local or state
14.
Siren/Loudspeaker
15.
Television
16.
Tone alert radio (TAR)
17.
Weather radio
----------97.
Other (PLEASE SPECIFY)
98.
None
99.
Don't know

1.
2.
3.
4.

9.

Do you or your family have an emergency plan?
1.
2.

Yes
No

10.

Has your local emergency management agency given you the information and materials
you would need to make a family emergency plan?
1.
2.

1 1.

Yes
No

Please answer yes or no to the following questions:
A. Are you familiar with the names of the major roads and highways in your area?
ASK QUESTION 11B IN CALHOUN AND CLAY COUNTIES ONLY
B. Do you know the evacuation route you should follow in the event of an evacuation?
ASK QUESTIONS 11C AND 11D IN TALLADEGA COUNTY ONLY
C. In the event of an evacuation, do you know the city that has been designated as the
final destination for people leaving your area? (IF NO: SKIP D)
D. Do you know the quickest route to that city?
ALL RESIDENTS
E. In the event of an emergency, do you have a family meeting place?
F. Do you have an out-of-area telephone contact?
G. Do you have a disaster preparedness kit (emergency supplies such as food, water,
medications, first aid supplies, flashlight, and battery-operated radio)?
H. Do you have a shelter-in-place kit with tape, plastic, and instructions?
ASK QUESTION 111 IN CLEBURNE COUNTY IF YES IN 11H
I. Did Clebume County Emergency Management Agency (EMA) provide you with a
shelter-in-place kit?
ALL RESIDENTS
J. Have you identified a room in your home that you would use for sheltering-in-place?
(IF NO: SKIP K)
K. Do you have an AMEM radio or TV in this room?

ASK QUESTIONS 12-13 IN CLEBURNE COUNTY ONLY
12.

What is your level of confidence in the following.. .
A. The Anniston Army Depot Personnel?
B. The Clebume County Commission?
C. The Clebume County School System Personnel?
D. The Clebume County Sheriffs Department?
E. Your County's Fire Department?
F. The Clebume County Emergency Medical/Ambulatory Service?
G. The Clebume County Emergency Management Agency (EMA)?

IF THE RESPONDENT SAYS "DON'T K N O W SAY: "Please choose the one that
most closely reflects your opinion." (READ 1-4)
1.
2.
3.

4.

Very confident
Somewhat confident
Not very confident
Not confident at all

ASK QUESTION 13 IN CLEBURNE ZONE A-12 ONLY
What is your level of confidence in the following...
13.
A. Your City's Elected Officials (Mayor and City Council Members)
B. Your City Police Department
C. Your City Fire Department
D. Your City Parks and Recreation Department
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

Very confident
Somewhat confident
Not very confident
Not confident at all

ALL RESIDENTS
14.

How confident are you that you know how to shelter in place in the event of a chemical
emergency?
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.

2.
3.

4.

Very confident
Somewhat confident
Not very confident
Not confident at all

15.

Do you have children in a local school in grades K-12?
1.
2.
3.

Yes
No
NAIrefused

GO TO 16
GO TO 22
GO TO 22

RESPONDENTS WITH CHILDREN ANSWER QUESTIONS 16
16.

What school(s) do they attend? (RECORD CATEGORY, ACCEPT MULTIPLE
RESPONSES)

Calhoun County
1.
Alexandria Elementary School
2.
Alexandria High School
3.
Alexandria Multi Disabled Center
4.
Anniston High School
Anniston Middle School
5.
C E Hanna Elementary School
6.
7.
Calhoun Alternative School
8.
Calhoun County Vocational Center
9.
Cobb Elementary School
10.
Coldwater Elementary School
11.
Cornerstone Christian Academy
12.
Constantine Elementary
De Annanville Jr. High School
13.
14.
Donoho School
15.
Faith Christian School
16.
Four Square Christian Academy
17.
Golden Springs Elementary School
18.
Jacksonville Christian Academy
19.
Jacksonville High School
20.
Kitty Stone Elementary School
2 1.
Ohatchee Elementary School
22.
Ohatchee High School
23.
Oxford Elementary School
24.
Oxford High School
25.
Oxford Middle School
26.
Oxford Special Education
27.
Piedmont Elementary School
28.
Piedmont High School
29.
Piedmont Middle School
30.
Pleasant Valley Elementary School
3 1.
Pleasant Valley High School
32.
Randolph Park Elementary School
33.
Sacred Heart Catholic School
34.
Saks Elementary School
35.
Saks High School

Saks Middle School
Tenth Street Elementary School
Trinity Christian Academy
Walter H Wellborn High School
Walter Wellborn Elementary School
Weaver Elementary School
Weaver Junior Senior High School
White Plains Elementary School
White Plains High School

Clay County
45.
46.
47.
48.
49.
50.
5 1.
52.

Ashland Elementary School
Ashland Primary School
Clay County High School
First Assembly of God Christian School
Lineville Elementary School
Lineville High School
Lineville Primary School (Barfield)
Mellow Valley Christian School

Cleburne County
Clebume County Elementary School (Heflin)
53.
54.
Cleburne County High School (Heflin)
55.
Cleburne County Career Technical School
56.
Fruithurst Elementary School
57.
Pleasant Grove Elementary School
58.
Ranburne Elementary School
59.
Ranburne High School
Etowah County
60.
C.A. Donehoo Elementary School
61.
Career Technical Center
62.
Carlisle Elementary School
63.
Central Christian Elementary School
64.
Coosa Christian School
65.
Curtiston Primary School
66.
Disque Middle School
67.
Duck Springs Elementary School
68.
Emma Sansom Middle School
69.
Etowah County Alternative School
70.
Etowah High School
7 1.
Etowah Middle School
72.
Eura Brown Elementary School
73.
Gadsden High School1 Gadsden City High School
74.
George W. Floyd Elementary School
75.
Glencoe Elementary School
76.
Glencoe High School

Glencoe Middle School
Hokes Bluff Elementary School
Hokes Bluff High School
Hokes Bluff Middle School
Holy Comforter Episcopal Day School
Ivalee Elementary School
J.K. Weaver Technical Center
John S. Jones Elementary School
Litchfield Middle School
Oscar Adams Elementary School
R.A. Mitchell Elementary School
Rainbow Middle School
Ray Thompson Elementary School
Sardis High School
Southside Elementary School
Southside High School
St. James Catholic School
Stowers Hill Intermediate School
Walnut Park Elementary School
Westbrook Christian School
West End High School
W.E. Striplin Elementary School
St. Clair County
ARC of St. Clair County
99.
100. Ashville Elementary School
101. Ashville High School
102. Ashville Middle School
103. Bible Methodist School
104. Calvary Christian Academy
105. Coosa Valley Elementary School
106. Duran Junior High School
107. East Coast Migrant Head Start
108. Eden Elementary School
109. Iola Roberts Elementary School
110. Moody Elementary School
111. Moody High School
112. Moody Middle School
113. Odenville Elementary School
114. Odenville Middle School
115. Pel1 City High School
116. Ragland Schools
117. Ruben Yancy Alternative School
118. Seventh Day Adventist Academy
119. Springville Elementary School
120. Springville High School
121. Springville Middle School

122.
123.
124.
125.
126.

St. Clair County Head Start
St. Clair County High School
Steele Junior High School
Victory Christian Academy
W. M. Kennedy Elementary School/Kennedy Elementary School

Talladega County
127. Alabama Institute-Deaf & Blind
128. C. L. Salter Elementary School
129. Charles R. Drew Middle School
130. Evelyn D Houston Elementary School
131. Graham Elementary School
132. Lincoln Elementary School
133. Lincoln High School
134. Munford Elementary School
135. Munford Junior-Senior High School
136. Northside-Henderson Elementary School
137. Raymond L. Young Elementary School
138. Stemley Road Elementary School
139. Sycamore Elementary School
140. Talladega County Central High
141. Talladega County Genesis Alternative School
142. Talladega High School
143. Winterboro High School
--------------496. Home school.. ..........................................GO TO 22
497. Other (PLEASE SPECIFY) ..........................GO TO 17
499. Don't knowmefused.. .................................GO TO 17
RESPONDENTS WITH CHILDREN AND RESPONSES TO 416 OTHER THAN "HOME
SCHOOL," ANSWER QUESTIONS 17-21
17.

Are you familiar with the emergency plan at your child(ren)'s school(s)?
1.
2.

Yes
No

18.

How confident are you that your childchildren would be safe in the care of their
school(s) in the event of a chemical emergency at the Anniston Army Depot?
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

19.

Very confident
Somewhat confident
Not very confident
Not confident at all

In the event of a severe weather or tornado warning how likely are you to go to the school
to get your childchildren?
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

20.

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely

In the event of a chemical emergency at the Anniston Army Depot, how likely are you to
go to the school to get your childchildren?
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

Very likely
Somewhat likely
Somewhat unlikely
Very unlikely

SKIP Q20b
SKIP Q20b

ASK 20b IN ALL COUNTLES EXCEPT CLAY
20b. Would you pick up your children when notified that it was safe to do so or immediately?
1.
2.

When notified it is safe
Immediately

21.

Why are you likelylunlikely to get your childlchildren from school in the event of a
chemical emergency? (DON'T READ, CATEGORIZE RESPONSES AS FOLLOWS,
ACCEPT MULTIPLE RESPONSES)
CLARIFY IF RESPONDENT SAYS "THEY" OR "THEM": Who do you mean by
theylthem?

Likely to pick up child(ren)
Child(ren) are safer with me
1.
2.
Don't trust the school
I want my child(ren) with me so we can leave the area
3.
1 want my child(ren) with me (general)
4.
Livelwork close to or at the school
5.
Make sure my child(ren) are safe
6.
7.
Protect my child(ren)
8.
School is not prepared
Unlikely to pick up child(ren)
Child(ren) have their own vehicle
50.
Child(ren) islare safer at the school
5 1.
Child(ren) would be evacuated/bused elsewhere
52.
Child(ren) would meet me at designated place
53.
Livelwork close to or at the school
54.
55.
Not able to get child(ren) even if I tried
56.
School is too far away
57.
Told not to try to get them
58.
Trust the school
59.
Wouldn't be able to go to the school
----------97.
Other (PLEASE SPECIFY)
99.
Don't knowRefused
ASK QUESTIONS 22-24 IN CLEBURNE, ST. CLAIR, CLAY, ETOWAH AND
TALLADEGA COUNTIES ONLY
22.

I am going to read to you a list of activities. Please tell me if you do each activity during
a typical week? (READ 1-10, ACCEPT MULTIPLE RESPONSES)
Listen to an AM radio station (INCLUDE 24A)
Listen to an FM radio station (INCLUDE 24A)
Watch a local television station (INCLLDE 24B)
Watch a cable or satellite television station (INCLLDE 24B)
Read a local newspaper (INCLUDE 24C)
Read a national newspaper (INCLUDE 24C)
Access the Internet
Read information you have received through the mail
Read free or sales papers (such as the Thrifty Nickel and Buy Sell Bulletin)

10.

-- -- - - - - 11.

23.

Read information posted on local bulletins or information boards (at convenience
stores and government buildings)
(DON'T READ) None GO TO 25

Of the activities you just mentioned, which do you spend the most time doing? (DON'T
READ, ACCEPT SINGLE RESPONSE)
Listen to an AM radio station
Listen to an FM radio station
Watch a local television station
Watch a cable or satellite television station
Read a local newspaper
Read a national newspaper
Access the Internet
Read information you have received through the mail
Read free or sales papers (thrifty nickel, buy sell bulletin, etc.)
Read information posted on local bulletin or information boards (at convenience
stores & government buildings)

24.

RESPONDENTS WILL ONLY BE ASKED THESE QUESTIONS CORRESPONDING
TO THEIR ANSWERS IN QUESTION 22. IF RESPONDENTS ANSWER CHOICES 1
OR 2 IN Q22 THEY WILL BE ASKED Q24A7 IF RESPONDENTS ANSWER
CHOICES 3 OR 4 IN Q22 THEY WILL BE ASKED Q24B, AND IF RESPONDENTS
ANSWER CHOICES 5 OR 6 IN Q22 THEY WILL BE ASKED Q24C. IF
RESPONDENTS DO NOT ANSWER CHOICES 1-6 IN Q22 THEN THEY WILL SKIP
Q24A-C.
A. What radio station do you listen to the most? (DON'T READ, CATEGORIZE
RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
Frequency
1
2
3
4
5
6
7
8
9
10
11
12
13

87.7
88.3
90.3
91.3
91.5
91.7
92.7
93.1
93.3
93.7
93.9
94.5
95.5

Call
Letters
WJCK
WBHM
WTBJ
WSGN
WPIL
WTDR
WGMZ
WDJC

WASZ

Name/
Description

NPR

14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36

95.7
96.5
97.5
97.9
98.7
99.5
100.5
100.7
101.1
101.5
102.5
102.7
103.5
103.7
104.7
105.1
106.5
106.7
106.9
107.7
570
690
810

WMJJ
WSSY
WVOK
WBHK
WZRR
WWWQ

K98

WYDE

WCKS
WQEN
WZZK
WQSB

WBPT
WRAX
WAAX
WJOX
WNSV
WCKS
WDJC
WERC
WAPI

37
850
38
960
39
1070
40
1330
41
1390
WHMA
42
1430
WFHK
43
1450
WDNG
44
1490
WANA
97 Other (PLEASE SPECIFY)

B.

What television station do you watch the most? (DON'T READ, CATEGORIZE
RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
1.
All local channels
Atlanta - Channel 2 (WBS)
2.
Atlanta - Channel 5 (CBS)
3.
Atlanta - Channel 1 1 (NBC)
4.
5.
Channel 51TBN
6.
Channel 6lWBRClFOX
7.
Channel 81WB
8.
Channel 1OPBS
9.
Channel 121UPN
10.
Channel 13/WVTM/NBC
11.
Channel21
12.
Channel 24lWJXS
Channel 33 or 40lWJSUlABClTV Alabama
13.
14.
Channel 42lWBMGlCBS
15.
CNN
16.
Fox News
17.
Home and Garden TV
18.
Satellite
19.
Weather Channel
-----------97.
Other (PLEASE SPECIFY)
What newspaper do you read the most? (DON'T READ, CATEGORIZE
RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
Anniston Star
1.
2.
Atlanta Journal-Constitution
3.
Birmingham News
4.
Clebume News
5.
Clay Times-Journal
6.
Gadsden Times
7.
New York Times
8.
St. Clair Times
9.
St. Clair News-Aegis
10.
Talladega Daily Home
11.
The Clebume Marketplace
12.
USA Today
-----------97.
Other (PLEASE SPECIFY)

ALL RESIDENTS
When was the last time you heard, saw, or read any information about how to prepare for
25.
a chemical emergency? (READ 1-4)
1.
2.
3.
4.
5.
6.
7.

Within the last week
Within the last month
Within the last year
More than a year
(DON'T READ) Have received CSEPP information but don't recall when it was
received
(DON'T READ) Never
GO TO 28
(DON'T READ) Don't recall receiving CSEPP information GO TO 28

RESPONDENTS WHO HAVE RECEIVED CSEPP INFORMATION ANSWER QUESTIONS
26-27.
26.

How have you received information about how to prepare for a chemical emergency?
(DON'T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE
RESPONSES)
AM/FM radio
Calendar
Community eventlFair1Booth
Informational packagekit
Informational parnphlet/flyer
Internet
Mail
Newspaper
SirenILoudspeaker drillsltesting
SpeakerISpeech
Television
Tone alert radio
Video
Word-of-mouth
WorWTraining
97.
99.

Other (PLEASE SPECIFY)
Don't know

27.

What information do you recall from what you heard, saw, or read? (DON'T READ,
CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
Calendar
Chemical agentdgases
Children will be safe in school
Didn't listen or read1Didn't pay attention
Don't go to school to pick up child(ren)
Drills/Tests
Evacuation plan
Evacuation directions
Evacuation route
Evacuation zones
Follow instructions
FoodIWater supply or storage
Listen to tone alert radio (TAR)/siren
Know your zone/Information on zone
Pamphlet
School's plan for an emergency
Shelter in place (seal, tape, prepare safe room)
Shelter-in-place kit
ShelterReception center
Sirens make different sounds/tones
Wait for instructions
What to do/How to prepare
Where to go to in an emergency

---

Don't remember
Other (PLEASE SPECIFY)
Nothing
Don't know
ALL RESIDENTS

28.

How confident are you that the public will be notified quickly in case of a chemical
emergency at the Anniston Army Depot?
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

29.

Very confident
Somewhat confident
Not very confident
Not confident at all

Why do you say you are confidentinot confident? (DON'T READ, CATEGORIZE
RESPONSE AS FOLLOWS, ACCEPT MULTIPLE RESPONSES )

CLARIFY LF RESPONDENT SAYS "THEY" OR "THEM: Who do you mean by
theylthem?

Confident
1.
Alert system is good
Always been told when something happens
2.
Depot does a lot of drillsltests
3.
4.
Depot is prepared
Depot has kept the public informed or will keep public informed
5.
Depot would try to contain the accident before alerting the public
6.
Depot would take a chemical release seriously
7.
8.
I trust the Depot
I trust the local government officials andlor local emergency management agency
9.
I worklworked at the Depot
10.
Local media would let us know
11.
Someone I know workslworked at the Depot
12.
Not confident
Alert system does not work, is inadequate, or difficult to understand
50.
Depot is not prepared
5 1.
Depot would try to cover up a chemical release
52.
53.
Cannot headunderstand the sirens
ComrnunityPublic is not very well informed
54.
I do not trust the Depot
55.
I don't trust the local government officials
56.
Not enough time to alert everyoneINot everyone will be informed
57.
Local government officials are not prepared
58.
Local government officials would try to cover up a chemical release
59.
There have been incidents before and we were not told
60.
----------97.
Other (PLEASE SPECIFY)
99.
Don't know

30.

Please tell me if you agree or disagree with the following statement:
"I am able to protect myself and my family in the event of a chemical emergency."
"Please choose the one that most closely reflects your opinion." (READ 1-4)
1.
2.
3.
4.

Agree strongly
Agree somewhat
Disagree somewhat
Disagree strongly

ASK QUESTIONS 31-34 IN ETOWAH COUNTY ONLY
3 1.
Are you a member of an organization or group in Etowah County that provides assistance
to people with special needs in the event of any type of emergency (severe weather, fire,
chemical emergency)?
IF RESPONDENT DOES NOT UNDERSTAND "SPECIAL NEEDS" PLEASE
CLARIFY: Physical or mental conditions that would prevent or limit a person's ability to
protect themselves in an emergency.

1.
2.

Yes
No (SKIP 32)

32.

Please tell me if you are a member of one or more of the following groups. (READ LIST,
ACCEPT MULPLE RESPONSES)
1.

2.
3.

4.
5.
33.

Church group
Civic group (such as the Red cross, the Lion's club, GadsdedEtowah County
Rescue Squad, Civitans, and VFW (Veterans of Foreign Wars))
Neighborhood support group (such as community block support group, area
support group, family support group)
Special facilities group (such as the DHR (Department of Human Resources))
Another group not mentioned above (PLEASE SPECIFY)

In the unlikely event a chemical emergency at the Anniston Army Depot, there is a
possibility that the emergency may affect Etowah County residents. Would you consider
being part of a community based support team or group to assist people with special
needs to shelter in place or evacuate during a chemical emergency?
1.
2.
3.

34.

Yes
No (SKIP 34)
Other (PLEASE SPECIFY)

Please tell me if you would consider becoming an active participant of one or more of the
following support groups (some are established groups and others have not been
established yet).(READ 1-4, ACCEPT MULTIPLE RESPONSES)
1. Church group
2. Civic group (such as the Red cross, the Lion's club, the GadsdedEtowah County
Rescue Squad, Civitans, and VFW (Veteran of Foreign Wars))
3. Neighborhood support group (such as community block support groups, specific
area support groups, family support groups)
4. Special facilities group (such as the DHR (Department of Human Resources))
5. (DON'T READ) None

ASK QUESTIONS 35-38b IN CALHOUN COUNTY ONLY
35.

Do you or any member of your household, have any physical or mental condition that
would prevent you or them from being able to shelter in place or evacuate?
1.

2.
3.
4.

Yes, I do
Yes, member of my household does
Yes, I do and member of my household does
No, neither (SKIP 36)

36.

Have preparations been made with family, friends, neighbors, or anyone else to help
yodthem in case the public is advised to shelter in place or evacuate?
1.
2.
3.

37.

In the event of severe weather (such as a tornado) or a chemical emergency would you
first turn to the television (TV) or radio for information and instructions?
1.
2.
3.
4.

38.

Yes
No
(ENTER VERBATIM COMMENTS TO THIS QUESTION IN ADDITION TO
RESPONDENT'S YES/NO RESPONSE)

Television
GO TO 38A
Radio
GO TO 38B
Both television and radio GO TO 38A
Other (PLEASE SPECIFY) GO TO 39

A. Which of the following television stations are you most likely to watch? (READ LIST
AND ACCEPT MULTIPLE RESPONSES)
1.
2.
3.
4.

WBRC-TV Channel 6, FOX
WVTM-TV Channel 13, NBC
WJXS-TV Channel 24
TV Alabama Channel 33/40, WJSU ABC

B. Which of the following radio stations are you most likely to listen to? (READ LIST
AND ACCEPT MULTIPLE RESPONSES)
1.
2.
3.
4.
5.
6.

WVOK FM 97.9 (K98)
WJCK FM 88.3
WHMA AM 1390
WDNG AM 1450
WANA AM 1490
WNSI AM 810

ALL RESIDENTS
What emergency zone do you live in?
39.
IF RESPONDENT SAYS "IRZ", "PAZ, "PINK Z O N E , "YELLOW ZONE", "ORANGE
ZONE", OR "GREEN ZONE" ASK: Do you know the name of the zone you live in?

Calhoun County
1.
A- 1
2.
A-1A
3.
A-2
4.
A-3
5.
A-4
6.
A-5
7.
A-6
8.
A-7
9.
A-8
10.
A-9
11.
A-10
12.
B-1
13.
B-2
14.
B-3
15.
B-4
16.
B-5
17.
C-1
18.
C-1A
19.
C-2
20.
C-3
21.
D-1
22.
D-2
23.
D-3
24.
D-4
25.
M-1
26.
M-2
27.
M-3
Clay County
28.
29.
30.
31.

B-9A
B-10
B-1OA
B-18

Cleburne County
32.
A-11
33.
A-12
34.
B-6
35.
B-7
36.
B-8

Etowah County
37.
A-13
38.
A-13A
39.
D-8
40.
D-9
41.
D-10
42.
D-11
43.
D-16
44.
D-17
45.
D-18
46.
D-18A
47.
D-18B
48.
D-18C
49.
D-18D
50.
D-18E
51.
D-18F
52.
D-18G
St. Clair County
53.
C-15
54.
C-17
55.
C-18
56.
C-19
57.
C-20
58.
C-21
59.
C-22
60.
C-23
61.
C-24
62.
C-25
63.
C-26
64.
C-27
65.
D-5
66.
D-6
67.
D-7
68.
D-12
69.
D-13
70.
D-15

Talladega County
71.
B-9
72.
B-11
73.
B-12
74.
B-13
75.
C-10
76.
C-4
77.
C-4A

--Other (PLEASE SPECIFY)
Don't know

To conclude, I have a few questions for statistical purposes.
40.

What is your approximate age, please? (READ 1-7)
18-29
30-34
35-44
45-54
55-59
60-64
65+
(DON'T READ) Refbsed

4 1.

Gender (BY OBSERVATION)
1.
2.

Male
Female

ASK QUESTIONS 42-42b IN CALHOUN AND ETOWAH ONLY
42.

Are you of Hispanic or Latino origin?
1.
Yes GOTO43
2.
No
99.
Don't knowRefused

42b.

What is your race? Please select one or more. Are you.. .. (READ LIST; ACCEPT
MLTLTIPLE RESPONSES)
1.
2.
4.
5.
6.
8.
99.

Whit elCaucasian
Black or African American
Asian
Native Hawaiian or other Pacific Islander
American Indian or Alaskan Native
Other (PLEASE SPECIFY)
(DON'T READ) Don't knowlrefused

ASK QUESTIONS 42c-42d IN CLEBURNE and TALLADEGA ONLY
42c. Is there anyone in your household whose first language is something other than English?
1.
2.

Yes
No (Skip 42d)

42d. What is that language?
1.
2.
97.
43.

How long have you lived in the vicinity of the Anniston Army Depot? (READ 1-6)
1.
2.

3.
4.
5.
6.
99.
44.

Less than one year
1-5 years
6-10 years
11-15 years
16-20 years
More than 20 years
(DON'T READ) Don't knowlrefused

Do you have access to the Internet?
1.
2.

45.

Spanish
Italian
Other (PLEASE SPECIFY)

Yes
No

Are you, or any member of your household, a member of the local emergency
management or first responder community (fire, police, etc.)?
1.
2.

Yes
No

ASK QUESTIONS 46-46b IN CLAY, ST.CLAIR AND TALLADEGA ONLY

46.

Are you, or any member of your household, employed by Anniston Army Depot?
1.
2.

46b.

Yes
No

Do you, or any member of your household, work for a company that provides support or
services to Anniston Army Depot (Contractor of the Depot)?
1.
2.

Yes
No

ASK QUESTIONS 46c IN CALHOUN, CLEBURNE, AND ETOWAH ONLY
46c.

47.

Are you, or any member of your household, employed by Anniston Army Depot or a
contractor of the Depot?
1.
2.
3.

Yes, Anniston Army Depot employee
Yes, Contractor of Anniston Army Depot
No

47.

What city, town, or community do you live in or closest to?

Calhoun County
1.
Alexandria
2.
Anniston
3.
Blue Mountain
Bynum
4.
5.
Choccolocco
6.
Coldwater
7.
De Armanville
8.
Eastaboga
9.
Ft. McClellan
10.
Golden Springs
11.
Hobson City
12.
Jacksonville
13.
Ohatchee
14.
Oxford
15.
Piedmont
16.
Pleasant Valley
17.
Saks
18.
Wellborn
19.
Wellington
20.
Weaver
2 1.
White Plains
Clay County

FOR CLAY COUNTY ONLY REWORD THE QLTESTION: Which volunteer fire department
serves your area?
22.
Coppermine
23.
Delta
24.
Idaho
25.
Shinbone
Cleburne County
FOR CLEBURNE COUNTY ONLY REPHRASE THE QLTESTION: Which of the following
communities do you live in? (READ 25-30, SINGLE RESPONSE)

26.
27.
28.
29.
30.
3 1.

Abel
Belltown
Chulafinnee (chew-la-fin-ee)
Five Points
Heflin (hef-lynn)
Hollis (hall-iss)

Etowah County
32.
Attalla
33.
Boaz
34.
Gadsden
35.
Gallant
36.
Glencoe
37.
Hokes Bluff
38.
Rainbow City
39.
Southside
40.
Ridgeville
41.
Reece City
St. Clair County
42.
Argo
43.
Ashville
44.
Branchville
45.
Leeds
46.
Margaret
47.
Moody
48.
Odenville
49.
Pel1 City
50.
Ragland
5 1.
Riverside
52.
Springville
53.
Steele
54.
Wattsville
Talladega County
55.
Alpine

Eastaboga
Lincoln
Munford
Oxford
Stemley
Sycamore
Talladega
Winterboro

97.
48.

Other (PLEASE SPECIFY)

Zip code (recorded in CAT1 from sample)

Thanks for your time--we really appreciate it. May I give a phone number to call in case you
have more questions about the Depot or the Chemical Stockpile Emergency Preparedness
Program (CSEPP)?

IF YES: PROVIDE PHONE NUMBER BY COUNTY. ONLY GIVE THE PHONE NUMBER
THAT CORRESPONDS WITH THAT COUNTY.
Calhoun County Emergency Management Agency
256-435-0540
Clay County Emergency Management Agency
256-396-5886
Cleburne County Emergency Management Agency
256-463-7130
Etowah County Emergency Management Agency
256-549-4575
St. Clair County Emergency Management Agency
205-884-6800
Talladega County Emergency Management Agency
256-761-2125
ONLY GIVE INTERNET ADDRESS IF THEY HAVE ACCESS TO THE INTERNET IN
QUESTION 44: If you are interested in information on the Internet, please go to
www.areyoureadyg;oema.com
Thanks again!