Harris Nuclear Power Plant Demographic Survey
* Required
Purpose
The purpose of this survey is to identify local behavior during emergency situations. The information gathered in this survey will be shared with the Duke Energy to enhance emergency response plans in your area. Your responses will greatly contribute to local emergency preparedness. ๐๐ฅ๐๐๐ฌ๐ ๐จ๐ง๐ฅ๐ฒ ๐๐จ๐ฆ๐ฉ๐ฅ๐๐ญ๐ ๐จ๐ง๐ ๐ฌ๐ฎ๐ซ๐ฏ๐๐ฒ ๐ฉ๐๐ซ ๐ก๐จ๐ฎ๐ฌ๐๐ก๐จ๐ฅ๐. ๐๐ฅ๐๐๐ฌ๐ ๐ก๐๐ฏ๐ ๐ญ๐ก๐ ๐ก๐๐๐ ๐จ๐ ๐ญ๐ก๐ ๐ก๐จ๐ฎ๐ฌ๐๐ก๐จ๐ฅ๐ (๐๐ ๐ฒ๐๐๐ซ๐ฌ ๐จ๐ซ ๐จ๐ฅ๐๐๐ซ) ๐๐จ๐ฆ๐ฉ๐ฅ๐๐ญ๐ ๐ญ๐ก๐ ๐ฌ๐ฎ๐ซ๐ฏ๐๐ฒ. Please do not provide your name or any personal information, and the survey will take less than 5 minutes to complete.
1. What is your gender?
Male
Female
Decline to State
Other:
Clear selection
2. What is your home zip code?
*
Your answer
3A. In total, how many running cars, or other vehicles are usually available to the household?
Choose
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
NINE OR MORE
ZERO (NONE)
DECLINE TO STATE
3B. In an emergency, could you get a ride out of the area with a neighbor or friend?
YES
NO
DECLINE TO STATE
Clear selection
4. How many vehicles would your household use during an evacuation?
Choose
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
NINE OR MORE
ZERO (NONE)
I WOULD EVACUATE BY BICYCLE
I WOULD EVACUATE BY BUS
DECLINE TO STATE
5. How many people usually live in this household?
Choose
ONE
TWO
THREE
FOUR
FIVE
SIX
SEVEN
EIGHT
NINE
TEN
ELEVEN
TWELVE
THIRTEEN
FOURTEEN
FIFTEEN
SIXTEEN
SEVENTEEN
EIGHTEEN
NINETEEN OR MORE
DECLINE TO STATE
Next
Never submit passwords through Google Forms.
This form was created inside of KLD Engineering, P.C..
Report Abuse
Forms
