Parent/Guardian name___________________________________________
Q1. Which disasters are likely to take place in SVG?
Tick [√] ALL the options below that apply.
□Wildfire □Windstorm □Drought □Tsunami
□Hurricane □Major Oil Spill □Earthquake □Tropical Storm
□Flood □Volcanic eruption □Landslide / Debris Flow Q2. FLOODING
2-1. Do you know what type of disaster FLOODING is?
□Yes, very well □Yes, a little □No, not at all 2-2. Have you ever been taught about FLOODING in school?
□Yes, a lot of times □Yes, a few times □No, never
2-3. Have you ever discussed FLOODING with your parents/guardians?
□Yes, a lot of times □Yes, a few times □No, never 2-4. Have you ever discussed FLOODING with your child/children?
□Yes, a lot of times □Yes, a few times □No, never 2-5. Have you ever experienced a FLOODING event?
□Yes □No
(1) If yes, was your house damaged by the FLOODING event?
□Yes □No
2-6. Have you ever watched TV programs/news about FLOODING?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never 2-7. Have you ever read newspaper/other articles about FLOODING?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never 2-8. Do you know what you should do to prepare for a FLOODING event?
□Yes, very well □Yes, a little □No, not at all
2-9. Do you know what you should do to evacuate safely from FLOODING?
□Yes, very well □Yes, a little □No, not at all
2-10. Do you know what you should do to recover from the damage caused by FLOODING?
□Yes, very well □Yes, a little □No, not at all 2-11. Do you think that FLOODING might occur in SVG?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all (1) If yes, do you think that FLOODING might occur in your community/town?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all (2) If yes, do you think your house might be damaged by FLOODING?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all Q3. HURRICANE
3-1. Do you know what type of disaster a HURRICANE is?
□Yes, very well □Yes, a little □No, not at all
2-2. Have you ever been taught about HURRICANE from a school teacher?
□Yes, a lot of times □Yes, a few times □No, never
2-3. Have you ever discussed HURRICANE with your parents/guardians?
□Yes, a lot of times □Yes, a few times □No, never
2-4. Have you ever discussed HURRICANE with your child/children?
□Yes, a lot of times □Yes, a few times □No, never 2-5. Have you ever experienced a HURRICANE event?
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□Yes, very often □Yes, sometimes □Yes, a few times □No, never 2-7. Have you ever read newspaper/other articles about HURRICANES?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never 2-8. Do you know what you should do to prepare for a HURRICANE event?
□Yes, very well □Yes, a little □No, not at all
2-9. Do you know what you should do to evacuate safely from a HURRICANE?
□Yes, very well □Yes, a little □No, not at all
2-10. Do you know what you should do to recover from the damage caused by a HURRICANE?
□Yes, very well □Yes, a little □No, not at all 2-11. Do you think that a HURRICANE might occur in SVG?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all
(1) If yes, do you think that a HURRICANE might occur in your community/town?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all (2) If yes, do you think your house might be damaged by a HURRICANE?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all Q4. LANDSLIDE / DEBRIS FLOW
4-1. Do you know what type of disaster LANDSLIDE / DEBRIS FLOW is?
□Yes, very well □Yes, a little □No, not at all
2-2. Have you ever been taught about LANDSLIDE / DEBRIS FLOW from a school teacher?
□Yes, a lot of times □Yes, a few times □No, never
2-3. Have you ever discussed LANDSLIDE / DEBRIS FLOW with your parents/guardians?
□Yes, a lot of times □Yes, a few times □No, never
2-4. Have you ever discussed LANDSLIDE / DEBRIS FLOW with your child/children?
□Yes, a lot of times □Yes, a few times □No, never
2-5. Have you ever experienced a LANDSLIDE / DEBRIS FLOW event?
□Yes □No
(1) If yes, was your house damaged by the LANDSLIDE / DEBRIS FLOW?
□Yes □No
2-6. Have you ever watched TV programs/news about LANDSLIDE / DEBRIS FLOW?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never
2-7. Have you ever read newspaper/other articles about LANDSLIDE / DEBRIS FLOW?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never
2-8. Do you know what you should do to prepare for a LANDSLIDE / DEBRIS FLOW event?
□Yes, very well □Yes, a little □No, not at all
2-9. Do you know what you should do to evacuate safely from a LANDSLIDE / DEBRIS FLOW?
□Yes, very well □Yes, a little □No, not at all
2-10. Do you know what you should do to recover from the damage caused by a LANDSLIDE / DEBRIS FLOW?
□Yes, very well □Yes, a little □No, not at all
2-11. Do you think that a LANDSLIDE / DEBRIS FLOW might occur in SVG?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all
(1) If yes, do you think that a LANDSLIDE / DEBRIS FLOW might occur in your community/town?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all
(2) If yes, do you think your house might be damaged by a LANDSLIDE / DEBRIS FLOW?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all Q5. VOLCANIC ERUPTION
5-1. Do you know what type of disaster a VOLCANIC ERUPTION is?
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□Yes, a lot of times □Yes, a few times □No, never
2-4. Have you ever discussed VOLCANIC ERUPTIONS with your child/children?
□Yes, a lot of times □Yes, a few times □No, never 2-5. Have you ever experienced a VOLCANIC ERUPTION?
□Yes □No
(1) If yes, was your house damaged by the VOLCANIC ERUPTION?
□Yes □No
2-6. Have you ever watched TV programs/news about VOLCANIC ERUPTIONS?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never 2-7. Have you ever read newspaper/other articles about VOLCANIC ERUPTIONS?
□Yes, very often □Yes, sometimes □Yes, a few times □No, never 2-8. Do you know what you should do to prepare for a VOLCANIC ERUPTION?
□Yes, very well □Yes, a little □No, not at all
2-9. Do you know what you should do to evacuate safely from a VOLCANIC ERUPTION?
□Yes, very well □Yes, a little □No, not at all
2-10. Do you know what you should do to recover from the damage caused by a VOLCANIC ERUPTION?
□Yes, very well □Yes, a little □No, not at all
2-11. Do you think that a VOLCANIC ERUPTION might occur in SVG?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all (1) If yes, do you think that a VOLCANIC ERUPTION might occur in your community/town?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all
(2) If yes, do you think your house might be damaged by a VOLCANIC ERUPTION?
□Yes, likely □Yes, a chance □No, unlikely □No, not at all Q6. Household Activities against Disaster
6.1 What steps, if any, have you or someone in you household taken to prepare for a natural disaster?
(Check all that apply)
□Discussed disaster management with your family in order to decide what to do in case of a natural disaster or emergency.
□Practiced for an emergency at home with your family.
□Developed a Family Emergency Plan in order to decide what everyone would do in the event of a household emergency.
□Developed a family plan in order to decide where to meet your family in an emergency.
□Developed a family plan in order to decide where to leave a message in an emergency
□Developed a plan for collecting children from school in an emergency
□Developed a reconnection plan in order to decide where to go and who to call
□Identified a safe place in your house against disasters
□Identified weak points in your house against disasters
□Made your house safe (strengthen, rebuild)
□Removed failing structures in the yard
□Prepared an “Emergency Pack”
□Prepared a “First Aid Kit” (Medical Supplies)
□Prepared a “Disaster Supply Kit” (Stored extra food, water, batteries, or other emergency supplies)
□Stored “Flashlight(s)”
□Stored a “Battery-Powered Radio”
□Have insurance coverage for flood events
□Have insurance coverage for earthquake events
□Received First Aid or Cardio-Pulmonary Resuscitation (CPR) training
□Received information about natural disasters or emergency preparedness
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□Know about vulnerable people (elderly people, children, babies, handicapped persons, and pregnant women) in your community
□Know about dangerous areas in your living area/community
6.2 To prepare for the possible occurrence of a volcanic eruption what nonstructural or structural modifications have you made to your home?
Nonstructural:
□Anchored bookcases, cabinets to wall
□Secured water heater to wall
□Installed latches on drawers/cabinets
□Fitted gas appliances with flexible connections Structural:
□Secured home to foundation
□Braced inside of cripple wall with sheathing
□Braced unreinforced masonry & concrete walls and foundations Q7. SOCIO-ECONOMIC INFORMATION
7.1 Please indicate your age.
________________________
7.2 Gender:
□Male □Female
7.3 Please indicate your level of education:
□Primary Schooling □Some high school □High school graduate/CXC
□Some college/Trade school □College degree □Graduate Degree
□Postgraduate degree □Other □Under-Graduate Degree 7.4 Do you have access to the Internet or World Wide Web?
□Yes □No
7.5 Do you own or rent your home?
□Own □Rent
7.6 What type of home do you live in?
□Single-family home □Duplex □Apartment (3-4 units in structure)
□Apartment (5 or more units in structure) □Condominium/Town house
□Manufactured home □Other
7.7 What is the name of the Community/City that you live in? ________________________
7.8 How long have you lived in this community or city? (year/s)
□Less than one year □1-5 years □6-9 years
□10-19 years □20 or more years
7.9 If you have lived in Marriaqua for less than 10 years, in what island/country did you live before you moved to Marriaqua? ________________________
7.10 If you were not born in SVG, in what country were you born? ________________________
7.11 What is your first language?
□English □Spanish □French □Creole □other ___________________