N/NE Portland Disaster Resource Directory
What is the name of your organization?
Your answer
What does your organization do? (Check all that apply)
Web Address
Your answer
Physical Address
Your answer
Contact 1: Name
Your answer
Contact 1: Phone
Your answer
Contact 1: Email
Your answer
Contact 2: Name
Your answer
Contact 2: Phone
Your answer
Contact 2: Email
Your answer
What services does your organization provide currently?
Your answer
What services or assets could your organization potentially provide after a disaster?
Your answer
What might your organization need after a disaster to provide these services?
Your answer
Does your organization have an explicit disaster plan? If so, provide its website or summarize it below.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.