Hurricane Resiliency Survey
This form is designed to capture key information on your experiences in Hurricane Harvey and the flooding events in the two previous years.

The purpose of this survey is to measure the financial and human cost incurred by our community.

Any data you provide will remain confidential. We will use these data in summary form to demonstrate the extent of loss to our flood-related government agencies and our elected officials.
Your name *
Your answer
Your address *
Your answer
Your subdivision *
How many people (including yourself) lived in your household at the time of Hurricane Harvey? *
Your answer
Was your home damaged during Harvey? *
For the people in your household, select the answer that best describes your experience.
Financial Costs
This section asks you to provide an estimate of the financial costs of Hurricane Harvey to you - including cleanup costs following the hurricane; the replacement of furniture, appliances, and other household goods; the replacement of vehicles; and the cost of being displaced from your home.
What types of clean up did you or someone else have to do in your home because of the rain or damage from Hurricane Harvey? Please select all that apply.
What is your best estimate of the clean-up cost incurred after Harvey (in dollars)?
Your answer
Did you replace damaged furniture, carpeting, appliances, or other household goods after clean-up efforts were completed? *
What is your best estimate of the total cost to replace furniture, carpeting, appliances, or other household goods (in dollars)?
Your answer
Were any vehicles owned by a person in your household damaged or lost because of Hurricane Harvey? *
If yes, how many?
What is your best estimate of the replacement cost of vehicle(s) lost or damaged (in dollars)?
Your answer
Did you have to leave your home because of Hurricane Harvey?
Where did you go?
If you were displaced, how long were you out of your home (in days)?
Your answer
If you were displaced, what is your best estimate of the costs of alternative shelter?
Your answer
Did you or any member of your household lose income as a direct consequence of the hurricane? *
What is your best estimate of the income loss resulting from Harvey (in dollars)?
Your answer
Flood Cost Claims and Compensation
This section looks at whether you filed a claim with FEMA or other flood recovery agencies - and whether you were satisfied with the process and compensation.
Did you have flood insurance when Harvey damaged your home? *
Did you file a claim with your flood insurance provider, FEMA, and/or other flood recovery organizations (check all that apply)? *
Required
If you filed a claim(s), how much was your total reimbursement?
Your answer
If you filed a claim(s), how many months did it take for your to receive reimbursement?
Your answer
If you filed a claim with FEMA, were you satisfied with the process and compensation?
If not, why not?
Your answer
In total, how many months did it (or will it) take for you and your family to fully recover from Harvey? *
Your answer
Human Costs
This section looks at the health and emotional impact of Hurricane Harvey.
Was your skin ever in contact with flood water during or right after the hurricane? *
Were you injured as a result of Hurricane Harvey? *
Did you become ill as a result of Hurricane Harvey? *
Were you hospitalized as a result of the hurricane? *
If yes, for how many days?
Your answer
Did you have any of the following symptoms in the year following Hurricane Harvey? *
Required
If other, please describe.
Your answer
Previous Flood Events
This section looks at whether you were affected by the flooding events in two years prior to Harvey.
Was your home damaged in the Tax Day Flood in 2016 or the Memorial Day Flood in 2015? (check all that apply) *
Required
What is your best estimate of the total loss (clean-up, loss of vehicles, loss of household income) that were a direct consequence of these flooding events (in dollars)?
Your answer
and finally ...
Many of you have had experiences that don't exactly fall into the questions we've asked. If you so desire, please include any comments you would like to share.
Your answer
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