Cyclone Alfred Community Volunteer Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

In the event that Cyclone Alfred makes landfall across Brisbane and brings significant damage we want to make sure Michael Berkman's and Elizabeth Watson-Brown's offices are as organised and prepared as we can be to support the community on the West Side. Having a team of volunteers willing to help out will make all the difference.

This survey will help us develop a clear sense of the resources, skills, and knowledge we have in the area for our cyclone response. Pop your details in and we'll be in touch if a cyclone hits to see how you can help!

Name *

Phone number *

Email *

Suburb *

During a flood, what availability are you likely to have for volunteering? (This is a general guide for us, it does not need to be exact, and obviously things can change)

Generally available any time, and happy to do a lot

Generally available any time, but can’t commit to too much

After hours and weekends

Some days mid-week and after hours/weekends

Irregular hours, but keen to help when I can

Not very available, but please keep me in the loop

Clear selection

During a flood, how mobile are you likely to be? (i.e. can you make it to the Maiwar or Ryan offices, can you make it to other locations for support work?)

I have a car and can get around to most places that aren’t cut off

I won’t be cut off, but don’t have a car

I’ll be cut off, but can do things in my local area

Clear selection

What kinds of work would you feel most comfortable/useful doing? (feel free to tick multiple!)

Transporting food/supplies/sandbags in my car

Transporting people to services they need

Helping clean up after the water subsides

Hauling water-damaged heavy items from under people’s homes

Doorknocking flood-affected areas to offer help/find out people’s issues

Supporting staff in the offices with phone calls/coordination

Staffing a BBQ and information stall

Offering a spare room for people in need of emergency accommodation

Other:

What relevant equipment do you have that you could possibly loan to the Greens’ effort?

Generator/s

Gerni/high-pressure hose (electric)

Gerni/high-pressure hose (petrol)

Wet-dry vacuum

Other general cleaning equipment

Eski

Kayak/canoe

Tinnie/small boat

I can purchase and donate some essential items

Other:

Are you linked into any community groups that might be worth Michael's or Elizabeth's offices contacting to help coordinate flood response efforts? (Feel free to give us any relevant details)

Is there anything else you would like us to be aware of in terms of flood response in your area?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Elizabeth Watson-Brown.

Does this form look suspicious? Report

Forms