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

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

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

1. Yes

2. No

3. 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

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97. Other (PLEASE SPECIFY)

99. Don’t know

4. 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

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97. Other (PLEASE SPECIFY)

98. Nothing

99. Don’t know

5. 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

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97. Other (PLEASE SPECIFY)

98. Nothing

99. Don’t know

6. 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

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97. Other (PLEASE SPECIFY)

99. Don't know

7. 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)

3. 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)

8. 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

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97. Other (PLEASE SPECIFY)

98. Nothing

99. Don’t know

9. 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

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97. Other (PLEASE SPECIFY)

98. None

99. Don’t know

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

1. Yes

2. No

11. 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

12. 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?

13. 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

14. 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

15. 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

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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

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

1. Yes

2. No

17. 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

18. 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

19. 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)

50. Child(ren) have their own vehicle

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

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

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

54. Live/work close to or at the school

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

56. School is too far away

57. Told not to try to get them

58. Trust the school

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

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97. Other (PLEASE SPECIFY)

99. Don’t know/Refused

20. 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

21. 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

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97. Other (PLEASE SPECIFY)

99. Don't know

22. 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

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96. Don’t remember

97. Other (PLEASE SPECIFY)

98. Nothing

99. Don’t know

23. 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

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97. Other (PLEASE SPECIFY)

99. Don't know

24. 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

25. 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

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

51. Depot is not prepared

52. Depot would try to cover up a chemical release

53. Cannot hear/understand the sirens

54. Community/Public is not very well informed

55. I do not trust the Depot

56. I don’t trust the local government officials

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

58. Local government officials are not prepared

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

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

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97. Other (PLEASE SPECIFY)

99. Don’t know

26. 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

27. 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

97. Other (PLEASE SPECIFY)

98. Don’t Know

28. 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

97. Other (PLEASE SPECIFY)

98. Don’t Know

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

29. 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

30. Gender (BY OBSERVATION)

1. Male

2. Female

31. Are you of Hispanic or Latino origin?

1. Yes GO TO 33

2. No

99. Don’t know/Refused

32. 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

33. 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

34. Do you have access to the Internet?

1. Yes

2. No

35. Zip code (recorded in CATI from sample)

Thanks for your time--we really appreciate it.

Thanks again!