Umatilla EPZ Residential Survey/ FEMA Form 008-0-6

Chemical Stockpile Emergency Preparedness Program (CSEPP) Evaluation and Customer Satisfaction Survey

Umatilla_EPZ_Questionnaire 008-0-6

Umatilla EPZ Residential Survey/ FEMA Form 008-0-6

OMB: 1660-0057

Document [docx]
Download: docx | pdf

CSEPP Public Affairs IPT Questionnaire

OMB Control Number: 1660-0057

Expiration Date: 06/30/2011



UMATILLA SITE SURVEY


General Introduction


S1. Hello, this is (FIRST AND LAST NAME) of CR Dynamics, working with your local CSEPP program. We are not selling anything. We are conducting a survey among people living near the Umatilla 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?


S2. IF YES: Are you 18 years of age or older?


S3. 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.



  1. Are you aware of the chemical agents at the Umatilla Chemical Depot?


1. Yes

2. No



  1. How would you know if there were a chemical emergency at the Umatilla Chemical Depot? (DON’T READ, CATEGORIZE RESPONSE AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)


  1. Tone alert radio (TAR)

  2. Siren/Loudspeaker

  3. AM/FM radio

  4. TV

  5. Family/Friend

  6. Highway Message Reader Boards

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

  1. Other (PLEASE SPECIFY)

99. Don’t know


  1. Please tell me if you agree or disagree with the following statement:


“I know what to do if I am warned of a chemical emergency at the Umatilla Chemical Depot.”


WAIT AND ASK: Is that strongly agree/disagree or somewhat agree/disagree?


1. Agree strongly

2. Agree somewhat

3. Disagree somewhat

4. Disagree strongly



  1. What action would you take if you found out there was a chemical emergency at the Umatilla Chemical Depot? (DON’T READ, CATEGORIZE RESPONSE AS FOLLOWS)


  1. Await instructions to shelter-in-place or evacuate from local government officials

  2. Contact family/friends

  3. Depends

  4. Evacuate

  5. Follow instructions given on TV, radio, or tone alert radio

  6. Go to work (depot, hospital, fire dept, police)

  7. Listen to tone alert radio

  8. Shelter-in-place

  9. Turn on/Listen to AM/FM radio

  10. Turn on/Watch television

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

97. Other (PLEASE SPECIFY)

98. Nothing

99. Don’t know

  1. 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?


  1. Close doors and windows

  2. Close heating/air conditioning vents

  3. Contact, find, or gather family

  4. Depends

  5. Emergency plan

  6. Evacuate

  7. Family emergency plan

  8. Follow instructions/Do what told

  9. Get food/water supply

  10. Get supplies (clothes/cell phone/book/candles/games/medicine/flashlight,ect)

  11. Go into shelter room of your home/workplace

  12. Go to work (depot, hospital, fire dept, police)

  13. Go/Stay inside

  14. Hysterical/Panic/Die

  15. Kneel/Pray

  16. Listen to radio/TV for further instructions

  17. Listen to tone alert radio

  18. Locate/collect pets

  19. Seal doors and windows of shelter room

  20. Shelter-in-place

  21. Take radio/TV into shelter room

  22. Turn off heating/air conditioning systems

  23. Use emergency kit

  24. Use shelter-in-place kit

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

97. Other (PLEASE SPECIFY VERBATIM ANSWER)

98. Nothing

99. Don’t know






  1. 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 instructions/Listen for help

  2. Check wind direction

  3. Depends on the circumstances

  4. Depends on wind direction/Will drive according to wind direction

  5. Evacuate toward a pre-planned destination

  6. Follow a pre-planned direction to evacuate

  7. Follow a pre-planned route to evacuate

  8. Follow instructions/Do what told

  9. Get kids/Go to school for kids

  10. Get personal items (pack clothes, food, water, gas)

  11. Get/Check calendar

  12. Get/Check preparedness kit/packet/pamphlet

  13. Go to work (depot, hospital, fire dept, police)

  14. Leave home or workplace/Get out of town/Get in car and go

  15. Listen to TV/radio/Tone Alert Radio for correct evacuation route

  16. Listen to TV/radio/Tone Alert Radio for location of reception/assistance center

  17. Listen to TV/radio/Tone Alert Radio/Emergency Alert System (general)

  18. Locate/collect pets

  19. Tell neighbors and others to evacuate

  20. Turn off heating/air conditioning systems

  21. Turn on TV/radio/Tone Alert Radio/Emergency Alert System (general)

  22. Wait for /Contact family members before leaving

  23. Would not evacuate

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

97. Other (PLEASE SPECIFY VERBATIM ANSWER)

98. Nothing

99. Don’t know


  1. In the event of an evacuation, do you have a pre-planned direction, route or destination? (ACCEPT MULTIPLE RESPONSES)


  1. Yes, direction (North, South, East, West)

    1. East

    2. North

    3. Northeast

    4. Northwest

    5. South

    6. Southeast

    7. Southwest

    8. West

  1. Other (PLEASE SPECIFY)

  1. Yes, route (road, highway, freeway)

  1. Highway 14

  2. Highway 30

  3. Highway 37

  4. Highway 207, Northbound

  5. Highway 207, Southbound

  6. Highway 221

  7. Highway 395, Northbound

  8. Highway 395, Southbound

  9. Highway 730, Westbound

  10. Highway 730, Eastbound

  11. I-82, Northbound

  12. I-82, Southbound

  13. I-84, Eastbound

  14. I-84, Westbound

  1. Other (PLEASE SPECIFY)


  1. Yes, destination (city, state, reception center)

  1. Arlington

  2. Baker City

  3. Boardman

  4. Enterprise

  5. Heppner

  6. Idaho/Boise, Idaho

  7. La Grande

  8. Mountains/Higher ground

  9. Pendleton

  10. Pilot Rock

  11. Portland

  12. Seattle

  13. Spokane

  14. The Dalles

  15. To a family member's home

  16. Tri-Cities/Kennewick/Pasco/Richland

  17. Walla Walla

  18. Washington State

  1. Other (PLEASE SPECIFY)

  1. No, none

  2. Depends on the wind direction

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

  1. Other (PLEASE SPECIFY)


  1. In the event of an evacuation, do you know which reception or assistance center you should go to?


1. Yes

2. No


  1. How would you know it would be safe to stop sheltering in place?

(ACCEPT MULTIPLE RESPONSES)


  1. AM/FM radio

  2. Chemical Stockpile Emergency Preparedness Program (CSEPP) Office

  3. Family/Relative

  4. Fire department

  5. Friend/Neighbor

  6. Local emergency management agency (EMA)

  7. Police

  8. Sheriff's department

  9. Siren, loudspeaker, or all-clear signal

  10. Tone alert radio (TAR)

  11. Television

  12. Work

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

97. Other (PLEASE SPECIFY VERBATIM ANSWER)

99. Don't know


  1. How would you know it would be safe to return to your home after an evacuation? (ACCEPT MULTIPLE RESPONSES)


  1. AM/FM radio

  2. Chemical Stockpile Emergency Preparedness Program (CSEPP) Office

  3. Family/Relative

  4. Fire department

  5. Friend/Neighbor

  6. Local emergency management agency (EMA)

  7. Police

  8. Sheriff's department

  9. Tone alert radio (TAR)

  10. Television

  11. Work

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

97. Other (PLEASE SPECIFY VERBATIM ANSWER)

99. Don't know


  1. If a chemical accident occurred at the Umatilla Chemical Depot, where do you think you would 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)


  1. 911

  2. AM/FM radio

  3. Army depot/Umatilla Chemical Depot

  4. Billboards on highway

  5. Calendar

  6. City hall

  7. Community center

  8. County sheriff

  9. Emergency Alert System (EAS)

  10. Family/Friends

  11. Fire department

  12. High school

  13. Highway Message Reader Boards

  14. Hospital

  15. Local emergency management agency (EMA)

  16. Newspaper

  17. Package/kit on preparedness

  18. Pamphlet

  19. Police, local or state

  20. Siren/Loudspeaker

  21. Television

  22. Tone alert radio (TAR)

  23. Video

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

97. Other (PLEASE SPECIFY)

98. None

99. Don’t know



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


1. Yes

2. No


  1. Does your home or business have a shelter-in-place kit?


1. Yes, home

2. Yes, business

3. Yes, both

4. No, neither


  1. How confident are you that you know how to shelter-in-place, and make a room safe from chemical vapors in the event of a chemical emergency? (READ 1-4, 4-1)


1. Very confident

2. Somewhat confident

3. Not very confident

4. Not confident at all


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


1. Yes GO TO 16

2. No GO TO 19

3. NA/refused GO TO 19


Respondents with children answer question 16

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


OVERPRESSURIZED SCHOOLS……….. ALL GO TO 18

1. A.C. Houghton Elementary

2. Armand Larive Middle School

3. Clara Brownell Middle School

4. Columbia Middle School

5. Desert View Elementary

6. Hermiston Center Head Start / 4th Street

7. Hermiston High School

8. Hermiston Junior Academy

9. Highland Head Start

10. Highland Hills Elementary

11. Irrigon Elementary School

12. Irrigon Junior-Senior High School

13. Irrigon Alternative School

14. McNary Heights Elementary

15. Migrant Head Start (also called Oregon Child Development Center)

16. Pine Tree Center Head Start

17. Rocky Heights Elementary

18. Sandstone Middle School

19. Sunset Elementary

20. Umatilla Head Start

21. Umatilla High School

22. West Park Elementary


NON-OVERPRESSURIZED ………………ALL GO TO 17

23. Echo Elementary

24. Echo High School

25.. Hermiston Christian School

26. Paterson Elementary

27. Riverside Junior-Senior High School (also called Riverside Middle School)

28. Sam Boardman Elementary

29. Stanfield Elementary

30. Stanfield High School

31. Stanfield Middle School

32. Windy River Elementary


33. NA/refused………………………….GO TO 19

34. home school GO TO 19

97. Other (PLEASE SPECIFY) GO TO 19 (if “other” response only)

99. Don’t know GO TO 19


Q17 only if child attends a non-overpressurized school

  1. In the event of a chemical accident, students in non-overpressurized schools will be bussed to a safe location, where parents can pick up their children. Do you know the location where your child will be bussed to safety?


1. Yes

  1. No



Respondents with children and responses to Q16 other than only “home school,” “don’t know” or “other” answer question 18.

  1. In the event of a chemical emergency at the the Umatilla 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?


1. Very likely

2. Somewhat likely

3. Somewhat unlikely

4. Very unlikely


All respondents

  1. How confident are you that the public will be notified quickly in case of a chemical emergency at the Umatilla Chemical Depot? (READ 1-4, 4-1)


1. Very confident

2. Somewhat confident

3. Not very confident

4. Not confident at all


  1. 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 being tested. Do you know the difference between the two siren sounds?


1. Yes

2. No


  1. 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?


1. Agree strongly

2. Agree somewhat

3. Disagree somewhat

4. Disagree strongly


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


  1. Which newpaper to you read the most?


  1. Confederated Umatilla Journal

  2. East Oregonain

  3. La Connecion

  4. Hermiston Herald

  5. Irrigon Irrigator

  6. La Voz

  7. North Morrow County Times

  8. Oregonian

  9. Seattle Times

  10. The Nickel

  11. Tri City Herald

  12. Wall Street Journal

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

  1. Other (PLEASE SPECIFY)

  2. (DON’T READ) Don’t get or read the newspaper


  1. Which radio station do you listen to the most? (VERIFY frequency, call letters, and nickname)

 

frequency

call letters

nickname

1

89.1

OPB / KFAE

 

2

90.9

OPB / KRBM

 

3

91.9

KDNA

(Spanish)

4

92.5

KZHR

 

5

93.3

KWAY

 

6

94.5

KATS

 

7

94.9

KIOK

Thunder County

8

95.7

KNLT

Cherry FM Oldies

9

96.3

KRCW

La Campesina

10

97.1

KXRX

97 Rock

11

97.9

KTHK

The Hawk

12

98.3

KEYW

The Key

13

99.1

KUJ

Power

14

100.5

KQFM

 

15

101.7

KMNA / KZXR

La Maquina Musical

16

101.9

KZZM

 

17

102.7

KORD

KORD Country

18

103.5

KWHT

 

19

105.3

KONA

KONA FM

20

106.5

KEGX

The Eagle

21

107.3

KFFM

 

22

107.7

KUMA

 

23

610

KONA

KONA AM

24

870

KFLD

 

25

920

KXLY

 

26

1090

KLWJ

Christian

27

1240

KTIX

 

28

1290

KUMA

 

29

1330

KMBI

 

30

1340

KTCR

 

31

1360

KOHU

 

32

1420

KUJ

 

97

Other (PLEASE SPECIFY):

98

(DON’T READ) Don’t listen to the radio


  1. Which television station do you watch the most? (VERIFY channel number, call letters, name/nickname)


 

channel number

call letters

name

1

2

KATU TV Channel 2

ABC (Portland)

2

3 or 19

KEPR

CBS (Tri Cities)

3

6

KOIN TV Channel 6

CBS (Portland)

4

8

KGW TV Channel 8

NBC (Portland)

5

9

OPB

 

6

11 or 17 or 66

KBW

FOX

7

12

KPTV Channel 12

Channel 12 Portland

8

25

KNDU

NBC (Tri Cities)

9

42

KVEW / KAPP

ABC (Tri Cities)

10

20 or 21

Univision

Spanish language

11

Unknown

Azteca

Spanish language

97

Other (PLEASE SPECIFY):

99

(DON’T READ) Don’t watch television




  1. 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


  1. Gender (BY OBSERVATION)


1. Male

2. Female



  1. Are you of Hispanic or Latino origin?

1. Yes GO TO 28

2. No

99. Don’t know/Refused


27b. 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


  1. How long have you lived in the vicinity of the Umatilla Chemical Depot? (READ 1-5)


1. 5 years or less

2. 6-10 years

3. 11-15 years

4. 16-20 years

5. More than 20 years

99. (DON’T READ) Don’t know/refused


  1. Do you have access to the Internet?


1. Yes

2. No


  1. Which of the following cities do you live in or closest to? (SINGLE RESPONSE)

Oregon only

  1. Boardman

  2. Echo

  3. Hermiston

  4. Irrigon

  5. Stanfield

  6. Umatilla


Washington only

  1. Paterson

  2. Plymouth


  1. Zip Code (Don’t ask, included with database)



Ending

Thanks for your time--we really appreciate it.

All respondents

Thanks again!




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleSuggested survey methodology: Use "open-ended" questions, categorize the response into pre-identified categories, and follow up
AuthorROUSSEL
File Modified0000-00-00
File Created2021-02-01
© 2024 OMB.report | Privacy Policy