Request edit access
Natural Hazard Mitigation Survey
Sign in to Google to save your progress. Learn more
1.  What town/city do you live in?
2.  Have any of the following increased your awareness of natural hazards in the region? (check all that apply)
3.  What are your greatest hazards of concern? (check all that apply)
4.  Have any of the hazards below personally impacted your home and/or business? (check all that apply)
5.  Are there any specific areas in your town/city vulnerable to natural hazards? If so, please specify the town/city, location and vulnerability to what hazard(s). For example, "Road A, near Lake B"
6.  What are some helpful measures that can be taken to reduce your city/town’s vulnerability to natural hazards (natural hazard mitigation strategies)? (check all that apply)
Optional: please feel free to leave your name and  e-mail address, so we can keep you posted of any new information and upcoming events
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report