Corps of Engineers Civil Works Questionnaires Generic Clearance

RESIDENTIAL FLOOD WARNING QUESTIONNAIRE

(Personal Interview)

OMB 0710-0001

Expires: 30 September 2012

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RESIDENTIAL FLOOD WARNING QUESTIONNAIRE

1. How many years have you been living at this address?

______________________ years

2. Were you living at this residence during the (year) flood?

___NO ___YES

3. Was your residence flooded?

___NO ___YES

4. Before the most recent flood, what would you have said the chance was of major flooding that would cause an evacuation of your neighborhood? (check one)

___NO CHANCE

___SLIGHT CHANCE

___MODERATE CHANCE

___STRONG CHANCE

___EXTREMELY LIKELY CHANCE

5. Before the flood this year, had your home ever been flooded? (check one)

___NO (SKIP to Q7) ___YES

6. Please give me the year that any previous floods occurred, and check whether or not you evacuated your home each time.

YEAR

______ ___ DID NOT EVACUATE ___EVACUATED

______ ___ DID NOT EVACUATE ___EVACUATED

______ ___ DID NOT EVACUATE ___EVACUATED

______ ___ DID NOT EVACUATE ___EVACUATED

______ ___ DID NOT EVACUATE ___EVACUATED

THE FOLLOWING QUESTIONS ONLY APPLY TO THE FLOOD THAT ENTERED YOUR HOME

->7. Just before this year’s flood, did anyone at this residence hear from anyone or receive any other communication that flooding was possible? (check one)

___NO (SKIP to Q25) ___YES

8. Did the FIRST such message that you received include any of the following information?

a) "Conditions are possible for a flood in your community." 1. NO 2. YES

b) "Watch the river or stream for flooding." 1. NO 2. YES

c) "It's possible your home will be flooded." 1. NO 2. YES

d) "Flooding will occur; take action." 1. NO 2. YES

e) "Evacuate your home." (no instructions) 1. NO 2. YES

f) "Evacuate your home." (with instructions) 1. NO 2. YES

g) The time that flooding would occur. 1. NO 2. YES

h) Other information in the message. 1. NO 2. YES

(Specify:)__________ ____________________________________

9. What would you call this first message that you received? (circle one)

1. A FLOOD WATCH

2. A FLOOD WARNING

3. NEITHER ONE

4. UNSURE

10. On what date and at what time of day did you hear this message?

MO. DAY TIME (Hours and Minutes):

__/ __/ __:___ (circle one): AM or PM

11. How did you hear this first message? (circle one only)

1. TV

2. RADIO

3. TELEPHONE BY PUBLIC OFFICIAL

4. TELEPHONE BY OTHER

5. FACE TO FACE BY PUBLIC OFFICIAL

6. FACE TO FACE BY OTHER

7. LOUDSPEAKER

8. SIREN

9. C.B., HAM RADIO or POLICE SCANNER

10. NEWSPAPER

11. OTHER ______________________________________

12. On what date, and at what approximate time did the flood waters reach your block? [Put a Number on each Blank or Check [ ] if DON'T KNOW]

DATE TIME (Hours and Minutes):

____ __: ___ (circle one): AM or PM

13. Of each of the following actions, please answer yes or no to each to indicate the actions that you took, if any, as a result of this first message you heard. Remember that these are only actions with respect to the first message you heard.

[Read list and circle responses.]

In response to the first message did you :

a) Listen to TV or Radio? 0. NO 1. YES

b) Contact family members? 0. NO 1. YES

c) Contact other people? 0. NO 1. YES

d) Disconnect appliances? 0. NO 1. YES

e) Pack or prepare any household possessions

for an evacuation? 0. NO 1. YES

f) Elevate possessions above the floor of the first

story of your house? 0. NO 1. YES

g) Move any possessions to a safer location

outside of the house? 0. NO 1. YES

h) Go out and look at the stream? 0. NO 1. YES

I) Move cars or other vehicles to higher ground? 0. NO 1. YES

j) Evacuate from the structure? 0. NO 1. YES

k) Take any other actions? (if yes, list below) 0. NO 1. YES

_______________________________________________

14. On a scale of 1 to 10 how would you estimate the strength of your belief in this first message? (1 represents total disbelief and 10 represents total belief)

­­­__________ (fill-in with number between 1-10)

15. The previous questions asked about the first message you received. Did you receive a DIFFERENT MESSAGE LATER ON indicating that flooding was possible or the possibility of flooding had increased?

0. NO If No, SKIP to Q 25

1. YES

16. Did the SECOND message that you received include any of the following information?

a) "Conditions possible for a flood

in your community." 0. NO 1. YES

b) "Watch the river or stream for flooding." 0. NO 1. YES

c) "It is possible your home will be flooded." 0. NO 1. YES

d) "Flooding will occur; take action." 0. NO 1. YES

e) "Evacuate your home." (no instructions) 0. NO 1. YES

f) "Evacuate your home." (with instructions) 0. NO 1. YES

g) The time that flooding would occur. 0. NO 1. YES

h) Other information in the message. 0. NO 1. YES

(Specify:)_______________________________________

17. What would you call this SECOND message that you received? (circle one)

1. A FLOOD WATCH

2. A FLOOD WARNING

3. NEITHER ONE

4. UNSURE

18. On what date, and what time of day did you hear this message?

MO. DAY TIME (Hours and Minutes):

__/ __/ __:___ (circle one): AM or PM

19. How did you hear this SECOND message? (circle one only)

1. TV

2. RADIO

3. TELEPHONE BY PUBLIC OFFICIAL

4. TELEPHONE BY OTHER

5. FACE TO FACE BY PUBLIC OFFICIAL

6. FACE TO FACE BY OTHER

7. LOUDSPEAKER

8. SIREN

9. C.B., HAM RADIO or POLICE SCANNER

10. NEWSPAPER

11. OTHER:________________________________

["Probe" for HOW.]

20. Please answer yes or no to each to indicate which of the following actions, if any, that you took as a result of this SECOND message that you heard.

In response to the second message did you :

a) Listen to TV or Radio? 0. NO 1. YES

b) Contact family members? 0. NO 1. YES

c) Contact other people? 0. NO 1. YES

d) Disconnect appliances? 0. NO 1. YES

e) Pack or prepare any household possessions for

evacuation? 0. NO 1. YES

f) Elevate possessions above the floor of the first story

of your house? 0. NO 1. YES

g) Move any possessions to a safer location outside

of the house? 0. NO 1. YES

h) Go out and look at the stream? 0. NO 1. YES

I) Move cars or other vehicles to higher ground? 0. NO 1. YES

j) Did the SECOND message cause you to evacuate

from the structure? 0. NO 1. YES

k) Did the SECOND message cause you to take

any other actions? (If yes, list below) 0. NO 1. YES

___________________________________________________­­­­­­

21. On a scale of 1 to 10 how would you estimate the strength of your belief in this second message? (1 = total disbelief, and 10 = total belief)

­­­__________ (fill-in with number between 1-10)

22. After receiving the second message, did you receive any later messages that caused you to take further action?

0. NO If No, SKIP to Q 25.

1. YES

2. UNSURE

23. Please describe the (those) later message(s).

____________________________________________________

____________________________________________________

24. What additional actions, if any, did you take as a result of hearing the (those) later message(s)?

____________________________________________________

____________________________________________________

->25. Do you have any suggestions on ways to improve the current flood warning system?

_____________________________________________________________________

_____________________________________________________________________

26. For each of the following categories, please tell me the total number of people who were in the residence, the number who did evacuate, and the number who did not: [Put a Number or Zero on each Blank]

EVAC- DID

TOTAL UATED NOT

a) Household members under 13: _____ _____ _____

b) Household members 13-64 yrs. old: _____ _____ _____

c) Household members 65 and over: _____ _____ _____

--------------------------------------------------------------------

d) Non-household members < 13: _____ _____ _____

e) Non-household members 13-64 yrs. old: _____ _____ _____

f) Non-household members 65 and over: ___­­­­__ _____ _____

[SKIP to Q 31, if no one evacuated.]

27. During the flooding this year, how many people evacuated from your household using each of the following modes of transportation?

[Put a Number or Zero on each blank.]

Number Evacuating

a) CAR OR TRUCK? ________

b) BOAT? ________

c) WALKING? ________

d) OTHER TRANSPORTATION? ________

(What kind?)___________________________________

28. For you and others who decided to evacuate from your residence, which of the following affected the decision to evacuate? Please answer yes or no to each.

Did you evacuate because of:

a) Messages on TV or Radio? 0. NO 1. YES

b) A telephone message from friends or relatives? 0. NO 1. YES

c) A face to face message from friends or relatives? 0. NO 1. YES

d) Telephone messages from local officials? 0. NO 1. YES

e) Face to face messages from local officials? 0. NO 1. YES

f) Experience you or other residents had with floods

in previous years? 0. NO 1. YES

g) High stream level or flood waters close to

your residence? 0. NO 1. YES

h) Because it was physically impossible to remain

in the structure? 0. NO 1. YES

I) To find or meet family members? 0. NO 1. YES

j) Because the neighbors were evacuating? 0. NO 1. YES

k) Other Reason(s) for Decision to Evacuate? 0. NO 1. YES

[Probe for Reasons]______________________________________

29. On what date, and at what time of day, did you last leave your house to go to a place of safety?

MO. DAY TIME (Hours and Minutes):

__/ __/ __:___ (circle one): AM or PM

30. How much time did it take in your evacuation to get out of the area of flood danger?

[Put a Number or a Zero on each Blank]

_____HOURS; ______MINUTES

Check Box if everyone evacuated [ ], and SKIP to Q31.

->31. If you and others did NOT evacuate when warned, which of the following affected your decision NOT to evacuate or to delay doing so?

[Read list and circle responses]

a) Did not believe messages on TV or Radio? 0. NO 1. YES

b) Telephone message from friends or relatives? 0. NO 1. YES

c) Face to face message from friends or relatives? 0. NO 1. YES

d) Telephone messages from local officials? 0. NO 1. YES

e) Face to face messages from local officials? 0. NO 1. YES

f) Experience you or other residents had with floods in

previous years? 0. NO 1. YES

g) Location of flood waters in relation to the residence? 0. NO 1. YES

h) Because it was physically impossible to leave the structure? 0. NO 1. YES

I) Because of location of family members? 0. NO 1. YES

j) Because the neighbors were not evacuating? 0. NO 1. YES

k) Fear of looting? 0. NO 1. YES

l) Other Reason(s) for Not Evacuating? 0. NO 1. YES

[specify]_________________________________________

BACKGROUND QUESTIONS

32. Do you own or rent your present residence? (CIRCLE)

1 OWN (or have mortgage)

2 RENT

3 OTHER (Please Specify:)_______________________

33. How many people, including yourself, are living at your residence?

_______PEOPLE

34. How many years have you lived in this community? _____YEARS

35. What was your age on your last birthday?_____YEARS

37. At the time of flooding this year, what was the marital status of the head of this household?

` 1. MARRIED

2. SINGLE

3. WIDOWED

4. DIVORCED OR SEPARATED

5. OTHER Specify):_____________________

38. How many total years of schooling have you completed? (Circle one)

Grade School High School College/Technical Graduate School

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21+

39. Please indicate which group represents your total pre-tax household income for last year? Please circle one box.

Less than $10,000	$50,000-$74,999
$10,000-$14,999	$75,000-$99,999
$15,000-$24,999	$100,000-$149,999
$25,000-$34,999	$150,000-$199,999
$35,000-$49,999	$200,000 or more

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