FEMA Form 008-0-15 Narrative of Change

Community Preparedness and Participation Survey

FEMA Form 008-0-15

LOCATION	CURRENT TEXT	REVISED TEXT
Page 2 of the new survey following S3. Cell Phone Screener Questions added.	N/A	CELSCRN1. Your safety is important. Are you driving in a car, walking down the street, in a public place or other location where talking on the phone might distract you or jeopardize your safety and/or confidentiality? 01 Yes [GO TO CELSCRN2] 02 No [GO TO CELSCRN3] 97 Don’t Know [GO TO CELSCRN3] 99 Refused [GO TO CELSCRN3]
Page 2 of the new survey following S3. Cell Phone Screener Questions added.	N/A	CELSCRN2. I would like to call you at a more convenient time. What day and time would be best? [INTERVIEWER: set up call-back]. 01 SCHEDULE CALLBACK 99 REFUSED [END INTERVIEW]
Page 2 of the new survey following S3. Cell Phone Screener Questions added.	.N/A	CELSCRN3. Are you at least 18 years old? 01 Yes 02 No [END INTERVIEW] 97 Don’t Know [END INTERVIEW] 99 Refused [END INTERVIEW]
Page 3 of the original survey. Question A1 removed	//ASK ALL// A1. In your current residence, do you live…? 01 With family members 02 With roommates (including boyfriend/girlfriend) 03 With both family members and roommates 04 Alone 97 Don’t know 99 Refused	REMOVED
Page 4 of the original survey. Question B1 removed	//ASK ALL// B1. In a natural disaster, such as an earthquake, a hurricane, a flood, a tornado, or wildfires, which of the following statements best represents your belief? 01 I can handle the situation without any preparation. 02 Preparation, planning, and emergency supplies will help me handle the situation. 03 Nothing I do to prepare will help me handle the situation. 97 DON’T KNOW 99 REFUSED	REMOVED
Page 4 of the original survey. Question B2 removed	//ASK ALL// B2. In an act of terrorism, such as a biological, chemical, radiological, or explosive attack, which of the following statements best represents your belief? 01 I can handle the situation without any preparation. 02 Preparation, planning, and emergency supplies will help me handle the situation. 03 Nothing I do to prepare will help me handle the situation. 97 DON’T KNOW 99 REFUSED	REMOVED
Page 5 of the original survey. Question B3 removed	//ASK ALL// B3. In a hazardous materials accident, such as a transportation accident or a power plant accident, which of the following statements best represents your belief? 01 I can handle the situation without any preparation. 02 Preparation, planning, and emergency supplies will help me handle the situation. 03 Nothing I do to prepare will help me handle the situation. 97 DON’T KNOW 99 REFUSED	REMOVED
Page 5 of the original survey. Question B4 removed.	//ASK ALL// B4. In a severe disease outbreak, such as a bird flu epidemic, which of the following statements best represents your belief? 01 I can handle the situation without any preparation. 02 Preparation, planning, and emergency supplies will help me handle the situation. 03 Nothing I do to prepare will help me handle the situation. 97 DON’T KNOW 99 REFUSED	REMOVED
Page 4 of the new survey following. Question C4, new question added.	N/A	NATDIS. You indicated that it was likely some type of natural disaster will ever occur in your community. Which of the following types of natural disasters do you think will ever occur in your community: [SELECT ALL THAT APPLY] [RANDOMIZE] 1. Earthquake 2. Flood 3. Wildfire 4. Tornado 5. Hurricane 6. Winter weather emergency 7. Other: Please specify___________________ 97. Not Sure [DO NOT READ] 99. Refused [DO NOT READ]
Page 6 of the new survey following. Question D1a-D1d, new series of questions added (MOT1 through MOT16).	N/A	Disaster preparedness includes buying disaster kits and making specific plans, but it also includes participating in training or drills and learning what to do in a disaster. For the next questions, please tell me the extent to which you agree with each. Items below should be randomized. INTERVIEWER: READ SCALE FOR THE FIRST TWO, AS NECESSARY THEREAFTER IF NECESSARY: By “preparing”, I’m talking about gathering disaster supplies, making specific plans, and learning and practicing what to do in a disaster. MOT1. Getting information about what to do in an emergency is too hard MOT2. I don’t know how to get prepared MOT3. I don’t have time to prepare MOT4. Preparing is too expensive MOT5. I don’t want to think about preparing for disasters MOT6. I have just never thought about preparing for disasters MOT7. If there were a disaster, the police and fire department would take care of my needs. MOT8. I don’t need training to know how to react in an emergency MOT9. My job or school encourages me to have a family disaster plan. MOT10. My job, school or community service encourages or requires me to take training to prepare for emergencies. MOT12. People I know have taken steps to get prepared. MOT13. Disasters in other places make me think about getting prepared MOT14. Disasters I have experienced make me think about getting prepared. MOT16. During the first 72 hours of a disaster, I feel it is my responsibility to take care of my family in a disaster. 05 Strongly agree 04 Somewhat agree 03 Neither agree nor disagree 02 Somewhat disagree 01 Strongly disagree 97 Don’t know 99 REFused
Page 6 of the original survey following D1A-D1D, EINTRO removed.	//ASK ALL// EINTRO. As we continue with the survey, I will ask you questions about being prepared for a disaster. When I use the words “preparing” or “prepared”, I’m referring to actions people can take at any time to prevent or reduce the impact of disasters on their lives.	REMOVED
Page 6 of the original survey following EINTRO, E1 is removed.	//ASK ALL// E1. How confident are you about your own ability to prepare for a disaster? Please use a scale of 1 to 5, with 5 being “very confident” and 1 being “not at all confident.” 05 VERY CONFIDENT 04 03 02 01 NOT VERY CONFIDENT 97 DON’T KNOW 99 REFUSED	REMOVED
Page 7 of the original survey following E2, E3 is removed.	//ASK IF E2=01, 02, or 05// E3. For each of the following statements, please tell me whether it is “The primary reason”, “Somewhat of a reason,” or “Not a reason at all” why you have not taken any disaster preparedness steps? //ROTATE A - G// a. I don’t know what I’m supposed to do. b. I just haven’t had the time. c. I don’t want to think about it d. It costs too much. e. I don’t think it will make a difference f. I don’t think I’d be able to g. I think that emergency responders, such as fire, police or emergency personnel, will help me. 01 A Primary Reason 02 Somewhat of a reason 03 Not a reason at all 97 DON’T KNOW 99 REFUSED	REMOVED
Page 8 of the original survey F2 is removed.	//ASK ALL// F2. In the event of a disaster, would you expect to need help to evacuate from the area? 01 YES 02 NO 97 DON’T KNOW 99 REFUSED	REMOVED
Page 8 of the original survey F3 is removed.	//ASK IF F2=01// F3. What kind of help do you think you would need to evacuate from the area? //DO NOT READ LIST// [PROBE: Anything else? Record all responses] ///MUL=7/// 01 DON’T HAVE A PLACE TO GO 02 INFORMATION ON THE EVACUATION ROUTE 03 TRANSPORTATION OUT OF THE AREA 04 HAVE A DISABILITY AND NEED HELP GETTING OUT OF MY HOME/WORKPLACE 05 HELP EVACUATING MY PET(S) 06 CONCERNED ABOUT GETTING GAS FOR MY VEHICLE 95 OTHER [RECORD RESPONSE] 97 DON’T KNOW 99 REFUSED ///ASK IF F3=95 F3OTH. ENTER OTHER RESPONSE ______________	REMOVED
Page 8 of the original survey following F1, TRANS is added.	N/A	TRANS. In the event of a disaster that required you to leave the area, would you need to rely on public transportation or the government for transportation? 01 YES 02 NO 97 Don’t Know 99 refused
Page 10 of the new survey, CIS1 is added.	N/A	[Ask if a child who lives in the home attends school] CIS1. In the past 12 months, other than fire safety have your children brought home any materials or talked about preparing your family for a disaster? 01 Yes 02 No 97 Don’t know 99 Refused
Page 10 of the new survey, CIS2 is added.	N/A	[Ask if a child living in the home has, in the past twelve months, brought home materials or talked about preparing the family for a disaster] CIS2. Did they receive that information from…  01 SCHOOL 02 A PROGRAM OUTSIDE OF SCHOOL 03 SOMEWHERE ELSE? [RECORD RESPONSE] 97 don’t know 99 refused
Page 10 of the original survey, question G4 is removed.	[If any of G3a-d=01] G4. What motivated you to take this training? [INTERVIEWER: DO NOT READ LIST] [PROBE: Anything else? Record all responses] ///MUL=9/// 01 MANDATORY FOR JOB/SCHOOL 02 EASY TO SIGN UP (E.G., OFFERED AT WORK, SCHOOL OR PLACE OF WORSHIP) 03 CONCERN FOR PERSONAL SAFETY 04 CONCERN FOR SAFETY OF FAMILY OR OTHERS 05 TO HAVE THE NECESSARY SKILLS TO HELP OTHERS 06 GENERAL INTEREST/HOBBY 07 TO BE PREPARED 08 BECAUSE OTHERS (FAMILY OR FRIENDS) DID 95 OTHER (Specify) 97 DON’T KNOW 99 REFUSED ///ASK IF G4=95 G4OTH. ENTER OTHER RESPONSE ______________	REMOVED
Page 11 of the original survey, question G5 is removed.	[If all of G3a-d <> 01 ask G5] G5. What is the main reason you have not received any preparedness training? DO NOT READ LIST. [PROBE: Anything else? Record all responses] //MUL=8// 01 LACK OF TIME 02 LACK OF MONEY/TOO EXPENSIVE 03 DON’T THINK IT’S IMPORTANT 04 HAVEN’T THOUGHT ABOUT IT 05 DIFFICULT TO GET INFORMATION ON WHAT TO DO 06 DON’T THINK IT WILL BE EFFECTIVE 07 ALREADY KNOW HOW TO BE PREPARED 08 PHYSICALLY UNABLE TO GET TO A TRAINING 97 DON’T KNOW 99 REFUSED	REMOVED
Page 11 of the original survey, question H1 is removed	Now I’d like to ask you a series of questions about noticing and reporting suspicious behavior or circumstances. H1. In the past 12 months, have you seen any suspicious behavior or circumstances? 01 YES 02 NO 97 DON’T KNOW 99 REFUSED	REMOVED
Page 11 of the original survey, question H2 is removed	//ASK If H1=01// H2. What did you do? [INTERVIEWER: DO NOT READ LIST, Record all responses] 01 CALLED POLICE AND/OR A TIPLINE 02 CALLED NEIGHBOR/FRIEND 03 WAITED FOR SOMEONE ELSE TO DO SOMETHING 04 LEFT THE AREA/ SITUATION/ EVENT 05 NOTHING 95 OTHER (Specify) 97 DON’T KNOW 99 REFUSED ///ASK IF H2=95 H2OTH. ENTER OTHER RESPONSE ______________	REMOVED
Page 12 of the original survey, question H3 is removed .	//ASK ALL// H3. Do you feel you have a personal responsibility to report suspicious behavior or circumstances to the authorities? 01 YES 02 NO 97 DON’T KNOW 99 REFUSED	REMOVED
Page 13 of the new survey, PET1 question has been added.	N/A	PET1. Does your household have a pet or service animal? 01 yes 02 no 97 don’t know 99 refused
Page 15 of the original survey, three items were removed from the K1.	Official sources of public safety information? How to get help with evacuating or getting to a shelter? How to get local information about a public health emergency, such as the H1N1 virus or swine flu?	REMOVED
Page 13 of the new survey, one new item was added to K1.	N/A	[ASK IF RESPONDENT HAS A PET] Your community’s emergency transportation and shelter plans for household pets and service animals?
Page 15 of the original survey, question K3 was removed.	K3. From which organizations in your community have you received information about the recent outbreak of the H1N1 virus or swine flu? We are talking about information that may have been provided through tv/radio, emails, flyers, presentation, phone calls),? [read all responses. Multiple choices allowed]  Local media Local government official Health care provider Neighborhood association Faith-based organization Schools or childcare facilities Workplace None Other [record response]	REMOVED
Page 16 of the original survey, question M2 was removed.	//ASK IFM1=01// M2. Which one or ones? 01 [Record all responses]	REMOVED
Page 17 of the original survey, question M4 was removed.	//ASK ALL// M4. Would you be willing to take a 20 hour training course to be qualified to help your community recover from disasters? 01 YES 02 NO 97 DON’T KNOW 99 REFUSED	REMOVED
Page 15 of the new survey, RECINFO question has been added.	N/A	//ASK ALL// RECINFO. In the past year, have you read, seen, or heard any information about how to get better prepared for a disaster? 01 YES 02 NO 97 DON’T KNOW 99 REFUSED
Page 15 of the new survey, INFSRC question has been added.	N/A	//ASK IF RECINFO=01// INFSRC. We’re specifically interested in where you may have read, seen or heard information on preparing for a disaster? I am going to ask you if you received it through a list of sources. Was it… [RANDOMIZED] INFSRC1. On national TV? INFSRC2. On local TV? INFSRC3. On the Internet? INFSRC4. Through e-mail? INFSRC5. On the radio? INFSRC6. In the newspaper? INFSRC7. On social media? INFSRC8. At church or from a faith-based organization? INFSRC 9. From a community organization? INFSRC 10. Through conversations with neighbors, friends, or family (online or offline)? INFSRC 11. At work? [ASK IF A4=1, 2] INFSRC 12. From your child’s school? [ASK IF A3=1] INFSRC 13. From your school? [ASK IF A4=3] INFSRC 14. From FEMA? INFSRC 15. From a local government entity or spokesperson? INFSRC16. On the Ready.gov website? INFSRC17. Anywhere else? (specify) YES NO 97 DON’T KNOW 99 REFUSED
Page 16 of the new survey, SCUTL question has been added.	N/A	SCUTL Did you find the information you received //INSERT RESPONSE FROM INFSRC1-17 THAT WAS SELECTED (=01 YES)// useful?  //PROGRAMMER: recall one response at a time// //RECALL ALL THAT WERE SELECTED INFSRC1-17=01 – ONLY DISPLAY THOSE THAT WERE SELECT IN INFSRC1-17 one at a time// 1. On national TV? 2. On local TV? 3. On the Internet? 4. Through e-mail? 5. On the radio? 6. In the newspaper? 7. On social media? 8. At church or from a faith-based organization? 9. From a community organization? 10. Through conversations with neighbors, friends, or family (online or offline)? 11. At work? [ASK IF A4=1, 2] 12. From your child’s school? [ASK IF A3=1] 13. From your school? [ASK IF A4=3] 14. From FEMA? 15. From a local government entity or spokesperson? 16. On the Ready.gov website? 17. Anywhere else?  //RECALL INFSRCO// YES NO                97  DON’T KNOW       99  REFUSED
Page 17 of the new survey, INFUSE question has been added.	N/A	//ASK IF SCUTL=01-17// INFUSET. ///IF INFSRC=2 OR MORE RESPONSES: Of those sources that you found useful // ///IF INFSRC=1 RESPONSE: From that source// what do you remember about the information? [INSERT LIST OF ALL SOURCES SELECTED ON SCUTL] 01 CONTINUE //ASK IF INFUSET=01// INFUSE [PRECODED LIST] [MULTIPLE RESPONSES] 1. It gave me information about knowing what to do 2. It gave me information about gathering supplies/getting a kit 3. It gave me information about having a household emergency plan 4. It provided me with information about the impact of my local hazards and how to respond 5. It provided me with information about my local alert and warning systems 6. It provided me with information about preparedness training 7. It provided me with information about preparedness drills 8. It told me where to seek out more information 9. The information was new to me 10. The information was clever or catchy 11. Other [Specify] 97. Don’t Know 99. Refused
Page 17 of the new survey, INFOUSE2 question has been added.	N/A	//ASK IF SCUTL=01-17// INFOUSE2. Still thinking about those useful sources of information, after receiving this information, did you take any steps to prepare for a disaster? 01 YES 02 NO 03 DIDN’T NEED TO TAKE STEPS; ALREADY PREPARED 97 DON’T KNOW 99 REFUSED
Page 17 of the new survey, INFOUS3 question has been added.	N/A	//ASK IF INFOUSE2=01 (YES)// INFUS3. Based on the information you received about getting better prepared, what steps did you take to become better prepared? [PRE-CODED LIST] [MULTIPLE RESPONSES] [FOR RESPONSES 01-10 AND 12; OPTIONS 11, 97 AND 99 CANNOT BE CHOSEN WITH ANY OTHER RESPONSES] 1. I made a kit/updated supplies 2. I made a household emergency plan 3. I learned about the impact of my local hazards and how to respond 4. I signed up for my local alert and warning systems 5. I participated in preparedness training 6. I participated in a preparedness drill 7. I went to a website to learn more 8. I read about ways to become prepared 9. I talked with people I know about preparedness 10. I asked someone a question about preparedness 11. Nothing 12. Other (Specify) 97. DON’T KNOW 99. REFUSED
Page 18 of the new survey, INFOUS4 question has been added.	N/A	//ASK IF INFOUSE2=01 (YES)// INFOUSE4. What motivated you to take these steps to become better prepared? [PRE-CODED LIST] [MULTIPLE RESPONSES] [FOR RESPONSES 01-10 AND 12; OPTIONS 11, 97 AND 99 CANNOT BE CHOSEN WITH ANY OTHER RESPONSES] 1. It is likely that a disaster will occur in my community 2. If a disaster occurred in my community it would be severe 3. People I know have taken steps to get prepared 4. If a disaster occurred in my community, the police and fire department might not be able to take care of needs 5. I feel like it is my responsibility to take care of my family in a disaster 6. I want to protect myself in a disaster 7. My job or school encouraged me to take steps to become better prepared 8. A friend or family member encouraged me to take steps to become better prepared 9. A trusted leader encouraged me to take steps to become better prepared 10. It just seems like something I should do 11. Disasters I have experienced motivated me to get better prepared 12. Disasters in other places motivated me to take steps to become better prepared 13. Nothing 14. Other (Specify) 97. DON’T KNOW 99. REFUSED
Page 18 of the new survey, ACTION_EQ question has been added.	N/A	ACTION_EQ. I’m going to read you a list of actions you could take during an emergency. For each, tell me whether you think it is true or false that the government recommends this action? /RANDOMIZE/ ACTION_EQ1. In an earthquake, you should get down close to the ground. ACTION_EQ2. In an earthquake, you should get under a big piece of furniture or other cover. ACTION_EQ3. In an earthquake, you should hold on to something. ACTION_EQ4. If you are indoors during an earthquake, you should run out of the building. ACTION_EQ5. If you are in bed during an earthquake, you should lie on the floor next to the bed. ACTION_EQ6. In an earthquake, you should get in a doorway. 01 TRUE 02 FALSE 97 DON’T KNOW 99 REFUSED
Page 19 of the new survey, SDCH statement has been added.	N/A	READ to all SDCH. Thanks, I just have a few more questions. The Federal Emergency Management Agency wants you to know that during an earthquake, you should Drop, Cover, and Hold on. That means, you should drop to the ground, take cover by getting under a sturdy desk or table, and hold on to it until the shaking stops. If you are inside during an earthquake, do not go outside until it is safe to do so.
Page 19 of the new survey, ACTION_TN question has been added.	N/A	ask ALL ACTION_TN. I’m going to read you a list of actions you could take during an emergency. For each, tell me whether you think it is true or false that the government recommends this action? /RANDOMIZE/ ACTION_TN1. If you are indoors during a tornado, you should go to a basement or an interior room on the lowest floor without windows ACTION_TN2. If you are indoors during a tornado, you should open the windows to minimize damage ACTION_TN3. If you are in a vehicle during a tornado, you should find an overpass and stop underneath until the tornado passes ACTION_TN4. If you are in a city during a tornado, you do not need to find shelter because tornadoes don’t impact cities. ACTION_TN5. A tornado warning means a tornado has been sighted or indicated by weather radar. ACTION_TN6. Most deaths and injuries in a tornado are caused by flying debris 01 TRUE 02 FALSE 97 DON’T KNOW 99 REFUSED
Page 21 of the new survey, TRNDO statement has been added.	N/A	READ to all TRNDO. The Federal Emergency Management Agency wants you to know that a tornado warning means that a tornado has been sighted or indicated by weather radar. Most deaths and injuries in a tornado are caused by flying debris. During a tornado if you are indoors and there is not an underground shelter or safe room available, you should go to a basement or an interior room on the lowest floor such as a bathroom or closet without windows. You should not open the windows. If you are in a vehicle, overpasses do not provide any protection. You should stay in your vehicle with the seat belt on, put your head down below the windows, and cover with your hands and a blanket if possible. If you can safely get noticeably lower than the level of the roadway, exit your car, and lie in that area, covering your head with your hands. If you are in a city during a tornado, you should find shelter as tornados can impact cities.
Page 17 of the original survey, question N1 has been removed from Demographics section.	//ASK ALL// Lastly, I would like to ask you for some information about you and your household. Again, all information that you provide will be held confidential. N1. Would you describe the location of your residence as…? 01 Urban 02 Suburban 03 Rural 97 DON’T KNOW 99 REFUSED	REMOVED
Page 17 of the original survey, question N2 asking about public transportation has been removed from Demographics section.	//ASK IF A4=01,02,03// N2 Do you generally use public transportation, such as subways or buses, to get to school or work? 01 YES 02 NO 97 DON’T KNOW 99 REFUSED	REMOVED
Page 21 of the new survey, a new question N2 is added asking about owning or renting home.	N/A	N2. Is your home? 01 OWNED 02 RENTED 03 LIVE THERE WITHOUT PAYING RENT 97 DON’T KNOW 99 REFUSED
Page 22 of the new survey, DIS1 was added.	N/A	DIS1. Do you have a disability or a health condition that might affect your capacity to prepare for an emergency situation? IF NECESSARY: A mobility, hearing, vision, cognitive, or intellectual disability or physical, mental or health condition 01 YES 02 NO 97 DON’T KNOW 99 REFUSED
Page 18 of the original survey, question N6 was removed.	//ASK ALL// N6. How religious would you say you are? Would you say… 01 Very religious 02 Somewhat religious 03 Barely religious 04 Not at all religious 97 DON’T KNOW 99 REFUSED	REMOVED
Page 23 of the new survey, a question about cell phone usage (Cell1) was added.	N/A	Ask if the respondent wants to continue with the survey and is on a landline Cell1. Do you personally use a cell phone? 01 YES 02 NO 97 Don’t Know 99 REFused
Page 24 of the new survey, a question about landline phone usage (LL1) was added.	N/A	[Ask if the respondent wants to continue with the survey and is on a cell phone] LL1. Do you have at least one landline telephone line in your home that you use for making and receiving phone calls? IF NECESSARY: A landline is a traditional phone, not a cell phone. IF NECESSARY: We only want to know about the lines you actually use to make calls, not lines dedicated to internet or fax. 01 YES 02 NO 97 Don’t know 99 REFused
Page 24 of the new survey, a question about dual phone usage (DUAL1) was added.	N/A	[Ask if respondent wants to continue with the survey and is on either a cell phone or a landline] Dual1. Of all the telephone calls that you receive, are… 01 ALL OR ALMOST ALL CALLS RECEIVED ON CELL PHONES 02 SOME RECEIVED ON CELL PHONES AND SOME ON REGULAR PHONES, OR 03 VERY FEW OR NONE ON CELL PHONES 97 Don’t Know 99 REFused

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