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.
Email address *
Your name *
Your address *
Your subdivision *
If "Other", what subdivision do you live in?
How were you affected by Harvey? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy