Disaster, Displacement and Disability Forum
We want to hear from people with disabilities and other disability advocates about the lack of adequate services and supports in shelters and in the community during and after Hurricane Florence, and challenges you may be facing today as a result of the storm. We are also interested to hear your ideas about what is needed now to provide relief and how North Carolina can be better prepared for future natural disasters. Your stories and suggestions will be used to advocate for improved disaster response and relief services in North Carolina, to ensure that disability is no longer a barrier to receiving the support every person is entitled to and needs in times of emergency.

Please fill out this form to the best of your ability with all information available to you.

Email address *
Name *
Your answer
Organization, if applicable
Your answer
Phone
Your answer
What county are you traveling from?
Your answer
Are you a person with a physical, mental health, developmental, sensory, learning, or other disability? *
Did you stay in an emergency shelter during and/or after the storm? If so, where? (please list all locations if you stayed in more than one shelter). (Please type N/A if this question does not apply to you.) *
Your answer
If you did stay in a shelter, please tell us about your experiences relevant to your disability. Did you receive the disability accommodations/services/supports you needed before, during, or after the hurricane? (If not, please answer N/A) *
Your answer
What could have improved the shelter experience for you or others with disabilities? (Please type N/A if this does not apply to you) *
Your answer
If you were in an area under mandatory evacuation, did you evacuate? *
If not, why? (Please type N/A if this does not apply to you.) *
Your answer
Did you have emergency plans in place? *
Did you follow your emergency plans? *
If not, why? (Please type N/A if this does not apply to you.) *
Your answer
If you are connected with an organization, did the organization have emergency plans in place and did you know what they were?
Your answer
Were there barriers to your organization carrying out their emergency plan?
Your answer
What are your biggest challenges post-hurricane? Are there additional challenges facing your community post-hurricane? *
Your answer
What recovery efforts have worked for you and your community? *
Your answer
What do you think is needed to better prepare in advance of future storms? *
Your answer
Are you planning to attend the Forum event in person? (A link to register for the event will be provided when you submit this survey) *
Will you need an accommodation to attend the forum? (If so, you will be contacted separately for details.) *
Would you be willing to share your experiences in a group setting with other forum attendees? (Please type N/A if this does not apply to you.) *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.