Blue Grass EPZ Residential Survey/ FEMA Form 008-0-7

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

Kentucky_EPZ_Questionnaire 008-0-7

Blue Grass EPZ Residential Survey/ FEMA Form 008-0-7

OMB: 1660-0057

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CSEPP Public Affairs IPT Questionnaire

OMB Control Number: 1660-0057

Expiration Date: 06/30/2011



BLUE GRASS SITE SURVEY


General Introduction…


Hello, this is (FIRST AND LAST NAME) of CR Dynamics, working with the Federal Emergency Management Agency and on behalf of your local county emergency management agency. We are not selling anything. We are conducting a survey among people living near the Blue Grass Army Depot regarding preparedness. 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 THEN GO TO S1.


IF NO: Is there someone else I can talk to who is 18 years of age or older?


If unavailable schedule callback and terminate.


s1. Do you live in (NAME OF COUNTY PROVIDED BY FIPS CODE) County?


  1. Yes (SKIP S2)

  2. No


S2. IF NO: What county do you live in?


  1. Madison

  2. Estill

  3. Rockcastle

  4. Clark

  5. Garrard

  6. Powell

  7. Jackson

  8. None of the above counties TERMINATE CALL




  1. Are you aware of the chemical agents that are stored at the Blue Grass Army Depot in Richmond?


  1. Yes

  2. No


  1. Do you know what the Chemical Stockpile Emergency Preparedness Program, also known as CSEPP (SEE-SEP) is?


  1. Yes

  2. No


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


  1. AM/FM radio

  2. Family/Friend

  3. Siren/Loudspeaker

  4. Tone alert radio (TAR)

  5. Television

  6. Weather radio

-----

  1. Other (PLEASE SPECIFY)

99. Don’t know


  1. What actions would you take if you found out there was a chemical emergency at the Blue Grass Army Depot? (DON’T READ, CATEGORIZE RESPONSE AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)


WAIT AND ASK: Are there any other actions you would take?


  1. Await instructions to shelter in place, evacuate, or stand-by.

  2. Contact family/friends

  3. Evacuate

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

  5. Shelter in place

  6. Turn on/Listen to AM/FM radio

  7. Turn on/Watch television

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

  1. Other (PLEASE SPECIFY)

  2. Nothing

  3. 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 family/friends

  4. Emergency plan/Family emergency plan

  5. Evacuate

  6. Find/Gather family

  7. Follow instructions/Do what told

  8. Get food/water supply

  9. Go inside/Stay inside

  10. Go into shelter room of your home/workplace

  11. Get supplies (clothes/cell phone/book/candles/games/medicine/flashlight, etc.)

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

  13. Hysterical/Panic/Die

  14. Kneel/Pray

  15. Listen to radio/TV for further instructions

  16. Locate/collect pets

  17. Lock doors and windows

  18. Seal doors and windows of shelter room

  19. Take radio/TV into shelter room

  20. Turn off heating/air conditioning systems

  21. Use emergency kit

  22. Use shelter-in-place kit

-----------

  1. Other (PLEASE SPECIFY)

  2. Nothing

  3. Don’t know

  1. How would you know it would be safe to stop sheltering-in-place? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, 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

  10. Tone alert radio (TAR)

  11. Television

  12. Weather radio

  13. Work

-----------

    1. Other (PLEASE SPECIFY)

99. Don't know



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


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

    1. East

    2. North

    3. South

    4. West

    5. Depends on wind direction

    6. Other (PLEASE SPECIFY)

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

  1. Boonesboro Rd.

  2. I-75 N

  3. I-75 S

  4. KY 52 E

  5. KY 82

  6. KY 89

  7. KY 388

  8. KY 421 E

  9. KY 499 S

  10. KY 627

  11. KY 1295 W

  12. US 25 S

  13. US 52 W

  14. US 421 S

  15. Depends on wind direction

  16. Other (PLEASE SPECIFY)

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

  1. Clark County Middle School

  2. Garrard County High School

  3. Jackson County High School

  4. Jacobson Park

  5. Lancaster

  6. Lexington

  7. London

  8. McKee

  9. National Guard Armory

  10. Powell County High School

  11. Red House Road

  12. Stanton

  13. Winchester

  14. Other (PLEASE SPECIFY)

4. No, none

5. Depends on the wind direction

97. Other (PLEASE SPECIFY)


  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. Contact family members before leaving

  3. Check wind direction

  4. Do not have transportation

  5. Evacuate in a specific direction

  6. Evacuate to a specific destination

  7. Evacuate using specific route

  8. Follow instructions/Do what told

  9. Gather family

  10. Get/Check calendar

  11. Get/Check preparedness kit/packet/pamphlet

  12. Get kids (not from school)

  13. Get kids from school/Go 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 workplace/Get out of town/Get in car and go

  17. Listen to TV/radio/tone alert radio for correct evacuation route

  18. Listen to TV/radio/tone alert radio for location of reception/assistance center

  19. Listen to TV/radio/tone alert radio (general)

  20. Locate/collect pets

  21. Need evacuation assistance

  22. Tell neighbors and others to evacuate

  23. Turn off heating/air conditioning systems

  24. Turn on TV/radio/tone alert radio (general)

  25. Wait for family members before leaving

  26. Would not evacuate

-----------

  1. Other (PLEASE SPECIFY)

  2. Nothing

  3. Don’t know


  1. If a chemical accident occurred at the Blue Grass 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)


  1. 911

  2. AM/FM radio

  3. Blue Grass Army Depot

  4. Calendar

  5. Family/Friends

  6. School

  7. Information received through the mail

  8. Local emergency management agency (EMA)

  9. Newspaper

  10. Preparedness kit/package

  11. Pamphlet/Brochure

  12. Police, local or state

  13. Siren/Loudspeaker

  14. Television

  15. Tone alert radio (TAR)

  16. Weather radio

-----------

  1. Other (PLEASE SPECIFY)

  2. None

  3. Don’t know


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


1. Yes

2. No


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


1. Yes

2. No


  1. Please answer yes or no to the following questions:


  1. Are you familiar with the names of the major roads and highways in your area?

  2. Do you know the evacuation route you should follow in the event of an evacuation?

  3. In the event of an emergency, do you have a family meeting place?

  4. Do you have an out-of-area telephone contact?

  5. Do you have a disaster preparedness kit (emergency supplies such as food, water, medications, first aid supplies, flashlight, and battery-operated radio)?

  6. Do you have a shelter-in-place kit with tape, plastic, and instructions?



  1. 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




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

1. Yes GO TO 15

2. No GO TO 20

3. NA/refused GO TO 20


RESPONDENTS WITH CHILDREN aNSWER questions 15

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


  1. B. Michael Caudill Middle

  2. Bellevue Center

  3. Berea College

  4. Berea Community

  5. Bluegrass Christian Academy

  6. Clark Moores Middle

  7. Daniel Boone Elementary

  8. Eastern Ky University

  9. Estill County Central office Estill – 2

  10. Estill Springs Elementary Estill-5

  11. Estill County High School Estill - 2

  12. Estill County Middle School Estill – 2

  13. Foley Middle

  14. Glenn Marshall Elementary

  15. Kingston Elementary

  16. Kirksville Elementary

  17. Kit Carson Elementary

  18. Ky Tech Madison Co Center

  19. Madison Central High

  20. Madison Middle

  21. Madison Southern High

  22. Mayfield Elemenary

  23. Model Laboratory

  24. National College

  25. Shannon Johnson Elementary

  26. Silver Creek Elementary

  27. South Irvine Elementary Estill-3

  28. St. Marks Catholic

  29. Trinity Baptist Academy

  30. Waco Elementary

  31. West Irvine Elementary Estill- 1

  32. White Hall Elementary


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

496. Home school……………………………………..GO TO 20

497. Other (PLEASE SPECIFY) ……………………..GO TO 16

499. Don’t know/Refused..……………………………GO TO 16


RESPONDENTS WITH CHILDREN AND RESPONSES TO Q15 OTHER THAN “HOME SCHOOL,” ANSWER QUESTIONS 16–19



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


  1. Yes

  2. No



  1. Are you aware that your child/children’s school plan states that you should not try picking them up in the event of a chemical emergency at the Blue Grass Army Depot because they would be safe in the care of their school(s)?

1. Yes

2. No



  1. Are you likely or unlikely to go to the school to get your child/children in the event of a chemical emergency at the Blue Grass Army depot?


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

2. Somewhat likely

3. Somewhat unlikely

4. Very unlikely



  1. Why are you likely/unlikely to get your child/children 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 they/them?


Likely to pick up child(ren)

  1. Child(ren) are safer with me

  2. Don’t trust the school

  3. I want my child(ren) with me so we can leave the area

  4. I want my child(ren) with me (general)

  5. Live/work close to or at the school

  6. Make sure my child(ren) are safe

  7. Protect my child(ren)

  8. School is not prepared


Unlikely to pick up child(ren)

  1. Child(ren) have their own vehicle

  2. Child(ren) is/are safer at the school

  3. Child(ren) would be evacuated/bused elsewhere

  4. Child(ren) would meet me at designated place

  5. Live/work close to or at the school

  6. Not able to get child(ren) even if I tried

  7. School is too far away

  8. Told not to try to get them

  9. Trust the school

  10. Wouldn't be able to go to the school

-----------

    1. Other (PLEASE SPECIFY)

  1. Don’t know/Refused



  1. When was the last time you heard, saw, or read any information about how to prepare for a chemical emergency? (READ 1-4)


  1. Within the last week

  2. Within the last month

  3. Within the last year

  4. More than a year

  5. (DON’T READ) Have received CSEPP information but don’t recall when it was received

  6. (DON’T READ) Never GO TO 23

  7. (DON’T READ) Don’t recall receiving CSEPP information GO TO 23


  1. How have you received information about how to prepare for a chemical emergency? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)


  1. AM/FM radio

  2. Calendar

  3. Community event/Fair/Booth

  4. Informational package/kit

  5. Informational pamphlet/flyer

  6. Internet

  7. Mail

  8. Newspaper

  9. Siren/Loudspeaker drills/testing

  10. Speaker/Speech

  11. Television

  12. Tone alert radio

  13. Video

  14. Word-of-mouth

  15. Work/Training

-----------

97. Other (PLEASE SPECIFY)

99. Don't know


  1. What information do you recall from what you heard, saw, or read? (DON’T READ, CATEGORIZE RESPONSES AS FOLLOWS, ACCEPT MULTIPLE RESPONSES)


  1. Calendar

  2. Chemical agents/gases

  3. Children will be safe in school

  4. Didn’t listen or read/Didn’t pay attention

  5. Don’t go to school to pick up child(ren)

  6. Drills/Tests

  7. Evacuation plan

  8. Evacuation directions

  9. Evacuation route

  10. Evacuation zones

  11. Follow instructions

  12. Food/Water supply or storage

  13. Listen to tone alert radio (TAR)/siren

  14. Know your zone/Information on zone

  15. Pamphlet

  16. School’s plan for an emergency

  17. Shelter in place (seal, tape, prepare safe room)

  18. Shelter-in-place kit

  19. Shelter/Reception center

  20. Sirens make different sounds/tones

  21. Wait for instructions

  22. What to do/How to prepare

  23. Where to go to in an emergency

-----------

  1. Don’t remember

  2. Other (PLEASE SPECIFY)

  3. Nothing

  4. Don’t know



  1. How would you prefer to receive emergency preparedness information?


  1. AM/FM radio

  2. Calendar

  3. Community event/Fair/Booth

  4. Informational package/kit

  5. Informational pamphlet/flyer

  6. Internet

  7. Mail

  8. Newspaper

  9. Siren/Loudspeaker drills/testing

  10. Speaker/Speech

  11. Television

  12. Tone alert radio

  13. Video

  14. Word-of-mouth

  15. Work/Training

-----------

97. Other (PLEASE SPECIFY)

99. Don't know



  1. How confident are you that the public will be notified quickly in case of a chemical emergency at the Blue Grass Army 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


  1. Why do you say you are confident/not confident? (DON’T READ, CATEGORIZE RESPONSE AS FOLLOWS, ACCEPT MULTIPLE RESPONSES )


CLARIFY IF RESPONDENT SAYS “THEY” OR “THEM”: Who do you mean by they/them?


Confident

  1. Alert system is good

  2. Always been told when something happens

  3. Depot does a lot of drills/tests

  4. Depot is prepared

  5. Depot has kept the public informed or will keep public informed

  6. Depot would try to contain the accident before alerting the public

  7. Depot would take a chemical release seriously

  8. I trust the Depot

  9. I trust the local government officials and/or local emergency management agency

  10. I work/worked at the Depot

  11. Local media would let us know

  12. Someone I know works/worked at the Depot


Not confident

  1. Alert system does not work, is inadequate, or difficult to understand

  2. Depot is not prepared

  3. Depot would try to cover up a chemical release

  4. Cannot hear/understand the sirens

  5. Community/Public is not very well informed

  6. I do not trust the Depot

  7. I don’t trust the local government officials

  8. Not enough time to alert everyone/Not everyone will be informed

  9. Local government officials are not prepared

  10. Local government officials would try to cover up a chemical release

  11. There have been incidents before and we were not told

-----------

97. Other (PLEASE SPECIFY)

99. Don’t know



  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?

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


  1. What emergency zone do you live in?


  1. 1A

  2. 1B

  3. 1C

  4. 1D

  5. 2A

  6. 2B

  7. 2C

  8. 2D

  9. 2E

  10. 3A

  11. 3B

  12. 3C

  13. 3D

  1. Other (PLEASE SPECIFY)

  2. Don’t Know




  1. What emergency zone do you work in?


  1. 1A

  2. 1B

  3. 1C

  4. 1D

  5. 2A

  6. 2B

  7. 2C

  8. 2D

  9. 2E

  10. 3A

  11. 3B

  12. 3C

  13. 3D

  1. Other (PLEASE SPECIFY)

  2. Don’t Know



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


  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+

99. (DON’T READ) Refused


  1. Gender (BY OBSERVATION)


1. Male

2. Female



  1. Are you of Hispanic or Latino origin?


1. Yes GO TO 33

2. No

99. Don’t know/Refused


  1. 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 Blue Grass Army Depot? (READ 1-6)


  1. Less than one year

  2. 1-5 years

  3. 6-10 years

  4. 11-15 years

  5. 16-20 years

  6. 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. Zip code (recorded in CATI from sample)



Thanks for your time--we really appreciate it.


Thanks again!


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