OMB Control Number: 1660-0057
Expiration Date: 06/30/2011
DESERET SITE SURVEY
General Introduction…
Hello, this is (FIRST AND LAST NAME) of CR Dynamics working with the Federal Emergency Management Agency on behalf of your local emergency preparedness providers. We are not selling anything. We are conducting a survey among people living near the Deseret (Děz-er-ět) Chemical Depot. This survey has been approved by the Office of Management and Budget (OMB) under FEMA Information Collection 1660-0057 and has an estimated response time of 10 to 15 minutes. Your participation is strictly voluntary and FEMA is not maintaining any personally identifiable information about you for this survey. Do you have a few minutes to answer a few questions?
IF YES: Are you 18 years of age or older?
IF YES: Start Survey. IF NOT: Is there someone else I can talk to who is 18 years of age or older? If unavailable schedule callback and terminate.
Screener questions
s1. What county do you live in? (VERIFY NAME OF COUNTY PROVIDED BY FIPS CODE)
Tooele County
Utah County
None of the above counties TERMINATE CALL
S2. What city do you live in or closest to? (SINGLE RESPONSE)
IF RESPONSE IS NOT ON THE LIST, READ THE LIST
Tooele County
Erda
Grantsville
Faust
Lake Point
Lofgreen
Ophir
Pine Canyon
Rush Valley (including Clover and ST. John)
Stansbury Park
Stockton
Tooele
Vernon
Dugway……Outside EPZ terminate call
Terra ………Outside EPZ terminate call
Wendover…Outside EPZ terminate call
Utah County
Cedar Fort
Eagle Mountain
Fairfield
Lehi…..Outside EPZ terminate call
main survey
Are you aware of the chemical agents at the Deseret (Děz-er-ět) Chemical Depot?
Yes
No
For many years the Army has been disposing of chemical agents at the Deseret Chemical Depot. Do you feel that the risk to the public has stayed the same, has been reduced, or has increased?
Stayed the same
Reduced
Increased
Do you feel the destruction of chemical agents at the Deseret Chemical Depot poses a significant risk to you?
Yes
No
Other (PLEASE SPECIFY)
Do you live in an Immediate Response Zone (IRZ) or a Protective Action Zone (PAZ) around Deseret Chemical Depot?
If respondent answers “don’t know” then clarify: When you say “don’t know” is it because you are not familiar with the terms Immediate Response Zone and Protective Action Zone, or because you “don’t know” which zone you live in?
IRZ
PAZ
Don’t know: Not familiar with terms Immediate Response Zone and Protective Action Zone
9. Don’t know which zone I live in.
How would you know if there were a chemical emergency at the Deseret Chemical Depot? (DON’T READ, ACCEPT MULTIPLE RESPONSES, CATEGORIZE RESPONSE AS FOLLOWS)
AM/FM radio
Emergency Alert System (EAS)
Family/Friend
Highway Message Board/Readerboard
Siren/Loudspeaker
Television
Tone alert radio (TAR)
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97 Other (PLEASE SPECIFY)
99. Don’t know
What is the first action you would take if alerted of a chemical emergency? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
Shelter in place
Evacuate
Turn on/Watch television
Turn on/Listen to AM/FM radio
Listen to tone alert radio
Follow instructions given on TV, radio, or tone alert radio
Await instructions to shelter in place or evacuate from local government officials
Call 911
Contact family/friends
Go to work (Depot, hospital, fire dept, police)
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97. Other (PLEASE SPECIFY)
99. Don’t know
6b. What other actions would you take if alerted of a chemical emergency? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES, KEEP PROMPTING UNTIL ANSWERED COMPLETELY)
Shelter in place
Evacuate
Turn on/Watch television
Turn on/Listen to AM/FM radio
Listen to tone alert radio
Follow instructions given on TV, radio, or tone alert radio
Await instructions to shelter in place or evacuate from local government officials
Call 911
Contact family/friends
Go to work (Depot, hospital, fire dept, police)
No other actions
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97. Other (PLEASE SPECIFY)
99. Don’t know
If you were instructed to shelter-in-place, what actions would you take? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES, KEEP PROMPTING UNTIL ANSWERED COMPLETELY)
If respondent answers “don’t know” then clarify: When you say “don’t know” is it because you are not familiar with the term shelter-in-place, or because you “don’t know” what actions you would take to shelter in place?
WAIT AND ASK: Are there any other actions you would take to shelter-in-place?
Close doors and windows
Close heating/air conditioning vents
Contact family
Emergency plan/Family emergency plan
Evacuate
Find/Gather family
Get food/water supply
Go inside/Stay inside
Go into shelter room of your home/workplace
Get supplies (clothes/cell phone/book/candles/games/medicine/flashlight,ect)
Go to work (Depot, hospital, fire dept, police)
Hysterical/Panic/Die
Kneel/Pray
Listen to radio/TV for further instructions
Locate/collect pets
Lock doors and windows
Seal doors and windows of shelter room
Take radio/TV into shelter room
Turn off heating/air conditioning systems
Use emergency kit
Use shelter-in-place kit
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Other (PLEASE SPECIFY)
Nothing
998. Don’t know: Not familiar with term shelter in place
999. Don’t know what actions I would take to shelter in place
How would you know when 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
Emergency Alert System (EAS)
Family/Relative
Fire department
Friend/Neighbor
Local emergency management agency (EMA)
Police
Sheriff's department
Television
Tone alert radio (TAR)
Work
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97 Other (PLEASE SPECIFY)
99. Don’t know
Would you evacuate if you were instructed to do so?
Yes GO TO 10
No GO TO 9b
9b. Why wouldn’t you evacuate? (RECORD VERBATIM RESPONSE)
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99. Don’t know
If a chemical accident occurred at the Deseret Chemical Depot, where would you get instructions on how to protect yourself and your family when you hear the warning signals? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES, KEEP PROMPTING UNTIL ANSWERED COMPLETELY)
WAIT AND ASK: Anywhere else?
AM/FM radio
Army Depot
Calendar
Emergency Alert System (EAS)
Family/Friends
Fire department
Highway Message Boards
Local emergency management agency (EMA)
Package/kit on preparedness
Pamphlet
Police, local or state
Siren/Loudspeaker
Television
Tone alert radio (TAR)
Video
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Other (PLEASE SPECIFY)
None
Don’t know
What do you currently do when you hear the sirens go off? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
IF RESPONDENT SAYS “Check if it is the Wednesday test/drill” THEN CLARIFY: “How would you check to see if it is a test/drill?”
Listen to siren announcement
Can't hear the sirens
Sirens are too far away
Don't pay attention / Ignore sirens / Don’t listen
Assume it is the Wednesday test/drill
Assume it is a fire fighter alert
Put gas mask on
Check local news/ radio/ scanner for more information
Check the calendar to see if it is a Wednesday test/drill
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Other (PLEASE SPECIFY)
Nothing
Don’t know
In the event of a chemical emergency at the Depot, sirens will alert residents that an accident has occurred. Sirens make a different sound when they are used by some of the local fire departments to summon volunteer firefighters to duty. Do you know the difference between the two siren sounds?
Yes
No
Please answer yes or no to the following questions:
Are you familiar with the names of the major roads and highways in your area?
In the event of an emergency, do you have a family meeting place?
Do you have an out-of-state telephone contact?
Do you have a shelter-in-place kit with duct tape, plastic, and instructions?
Do you have a disaster supply kit or a 72-hour kit (emergency supplies such as: food, water, first aid kit, flashlight, battery-operated radio, etc.)?
Is the gas tank of your car at least ½ full at all times?
Do you have a fire extinguisher? IF YES: Go to q13_7a, IF NO: Go to question q14.
Do you know how to use your fire extinguisher?
Do you have a Tone Alert Radio (also called TAR or weather alert radio)?
Yes GO TO 15
No GO TO 14b and then SKIP 15
14b. Why don’t you have a Tone Alert Radio? (RECORD VERBATIM RESPONSE)
IF RESPONDENT SAYS “THEY” OR “THEM” CLARIFY: “Who do you mean by they/them?”
Is your Tone Alert Radio plugged in? (DON’T READ, CATEGORIZE RESPONSE AS FOLLOWS)
Yes
No
7. Other (PLEASE SPECIFY)
9. Don’t know
How confident are you that you know how to shelter-in-place in the event of a chemical emergency?
If the respondent says “don’t know” say: “Please choose the one that most closely reflects your opinion.” (READ 1-4)
1. Very confident
2. Somewhat confident
3. Not very confident
4. Not confident at all
Do you have children in a local school in grades K-12?
Yes GO TO 18
No GO TO 22
NA/Refused GO TO 22
Are you familiar with the emergency plan at your child(ren)’s school?
Yes
No
How confident are you that your child/children would be safe in the care of their school(s) in the event of a chemical emergency at the Deseret Chemical Depot?
If the respondent says “don’t know” say: “Please choose the one that most closely reflects your opinion.” (READ 1-4)
1. Very confident
2. Somewhat confident
3. Not very confident
4. Not confident at all
In the event of a chemical emergency at the Deseret Chemical Depot, are you likely or unlikely to go to the school to get your child/children?
WAIT AND ASK: Is that very likely/unlikely or somewhat likely/unlikely?
If the respondent says “don’t know” say: “Please choose the one that most closely reflects your opinion.” (READ 1-4)
1. Very likely GO TO 20b
2. Somewhat likely GO TO 20b
3. Somewhat unlikely GO TO 21b
4. Very unlikely GO TO 21b
20b. Would you pick up your children immediately or when notified that it is safe to do so?
1. Immediately GO TO 21 and SKIP 21b
2. When notified it is safe GO TO 21 and SKIP 21b
Why do you say that? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
IF RESPONDENT SAYS “THEY” OR “THEM” CLARIFY: “Who do you mean by they/them?”
Likely to pick up child(ren)
Child(ren) are safer with me
Don’t trust the school
I want my child(ren) with me so we can leave the area
I want my child(ren) with me (general)
Make sure my child(ren) are safe
Protect my child(ren)
School is not prepared
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Other (PLEASE SPECIFY)
99. Don’t know/Refused
21b. Why do you say you are unlikely to get your child/children from school? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
IF RESPONDENT SAYS “THEY” OR “THEM” CLARIFY: “Who do you mean by they/them?”
Unlikely to pick up child(ren)
My child(ren) is/are safer at the school
My child(ren) would be evacuated/bused elsewhere
Not able to get child(ren) even if I tried
School is too far away
Told not to try to get them
Trust the school
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Other (PLEASE SPECIFY)
99. Don’t know/Refused
ALL RESIDENTS
How would you prefer to receive emergency preparedness information? (ACCEPT MULTIPLE RESPONSES, READ 1-7, 7-1)
AM/FM radio
Calendar
Direct mail
Fairs
Internet
Newspaper
Public presentations
(DON’T READ) Other (PLEASE SPECIFY)
When was the last time you heard, saw, or read any information about how to prepare for a chemical emergency?
Within the last week
Within the last month
Within the last year
More than a year
(DON’T READ) Never GO TO 26
(DON’T READ) Don’t recall receiving CSEPP information GO TO 26
(DON’T READ) Have received CSEPP information but don’t recall when it was received GO TO 24
How have you received information about how to prepare for a chemical emergency? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES, KEEP PROMPTING UNTIL ANSWERED COMPLETELY)
WAIT AND ASK: Anything else?
AM/FM radio
Calendar
Community event/Fair/Booth
Highway Message Board/Readerboard
Informational package/kit
Informational pamphlet/flyer
Internet
Magazine
Newspaper
Siren/Loudspeaker drills/testing
Speaker/Speech
Television
Tone alert radio
Video
Word-of-mouth
Work/Training
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97 Other (PLEASE SPECIFY)
What do you remember from what you heard, saw, or read? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES, KEEP PROMPTING UNTIL ANSWERED COMPLETELY)
WAIT AND ASK: Anything else?
Calendar
Chemical agents/gases
Children will be safe in school
Didn’t listen or read/Didn’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
Food/Water storage
Listen to Tone Alert Radio(TAR)/ Siren
Pamphlet
School’s plan for an emergency
Shelter in place
Shelter-in-place kit
Shelter/Reception center
Sirens make different sounds/tones
Wait for instructions
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97. Other (PLEASE SPECIFY)
98. Nothing
998. Don't remember
999. Don’t know
Have you read the emergency preparedness information in the annual Tooele County emergency preparedness calendar?
IF RESPONDENT ANSWERS “NO” THEN CLARIFY: “Have you received a Tooele County emergency preparedness calendar?”
Yes GO TO 27
No, received a calendar but did not read it GO TO 28
No, have not received a calendar GO TO 28
Do you feel the information in the calendar has helped you to become more prepared for a possible chemical emergency?
Yes
No
How confident are you that the public will be notified quickly in case of a chemical emergency at the Deseret Chemical Depot?
If the respondent says “don’t know” say: “Please choose the one that most closely reflects your opinion.” (READ 1-4)
1. Very confident
2. Somewhat confident
3. Not very confident
4. Not confident at all
Why do you say that you are confident/not confident? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)
IF RESPONDENT SAYS “THEY” OR “THEM” CLARIFY: “Who do you mean by they/them?”
Confident
Alert system is good
Always been told when something happens
Depot does a lot of drills/tests
Depot is prepared
Depot has kept the public informed
Depot would try to contain the accident before alerting the public
Depot would take a chemical release seriously
I trust the Depot
I trust the local government officials
I work/worked at the Depot
Local media would let us know
Local government officials would try to contain the accident before alerting the public
Someone I know works/worked at the Depot
Not confident
Alert system does not work
Depot is not prepared
Depot would try to cover up a chemical release
Cannot hear/understand the sirens
Community is not very well informed
I do not trust the Depot
I don’t trust the local government officials
Not enough time to alert everyone
Local government officials are not prepared
Local government officials would try to cover up a chemical release
There have been incidents before and we were not told
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97. Other (PLEASE SPECIFY)
99. Don’t know
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.”
WAIT AND ASK: Is that strongly agree/disagree or somewhat agree/disagree?
If the respondent says “don’t know” say: “Please choose the one that most closely reflects your opinion.” (READ 1-4)
1. Agree strongly
2. Agree somewhat
3. Disagree somewhat
4. Disagree strongly
To conclude, I have a few questions for statistical purposes.
What is your approximate age, please? (READ 1-7)
1. 18-29
2. 30-34
3. 35-44
4. 45-54
5. 55-59
6. 60-64
7. 65+
9. (DON’T READ) Refused
Gender (BY OBSERVATION)
1. Male
2. Female
Are you of Hispanic or Latino origin?
1. Yes GO TO 34
2. No
9. Don’t know/Refused
33b. What is your race? Please select one or more. Are you…. (READ 1-5 of LIST ONLY; ACCEPT MULTIPLE RESPONSES)
1. White
2. Black or African American
3. Asian
4. Native Hawaiian or other Pacific Islander
5. American Indian or Alaska Native
6. (Other (PLEASE SPECIFY))
99. DON’T READ
How long have you lived in the vicinity of the Deseret Chemical Depot? (READ 1-5)
Less than one year
1-5 years
6-10 years
11-15 years
16-20 years
More than 20 years
9. (DON’T READ) Don’t know/refused
Do you have access to the Internet?
Yes………… Give Internet address at the end of the survey
No…………. Don’t give Internet address at the end of the survey
Are you or any member of your household a member of the local emergency management or first responder community (fire, police, etc.)?
1. Yes
No
Are you or any member of your household employed by Deseret Chemical Depot or a contractor of the Depot?
Yes, Deseret Chemical Depot
Yes, Contractor of Deseret Chemical Depot
No
Zip code (recorded by CATI)
Thanks for your time--we really appreciate it.
Thanks again!
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Suggested survey methodology: Use "open-ended" questions, categorize the response into pre-identified categories, and follow up |
Author | ROUSSEL |
File Modified | 0000-00-00 |
File Created | 2021-02-01 |