Mitigation Questionnaire

A regional planning partnership of municipalities, agencies and stakeholders has recently been formed to address natural hazards that may occur in Monmouth County. A steering committee has been selected to oversee this process. In order to identify and plan for future natural disasters, we need assistance from the residents of Monmouth County. This questionnaire is designed to gauge the level of knowledge local citizens have about natural-disaster issues and areas vulnerable in your community to any type of natural disaster. The information you provide will help coordinate activities to reduce the risk of injury or property damage in the future.

This survey consists of 15 questions and will take approximately 5 minutes to complete.

GENERAL HOUSEHOLD INFORMATION

The following requested demographic information will aid the steering committee in determining the hazard mitigation needs of our community. For example, indicating whether you own a house or are a tenant will help determine the needs for both renters and homeowners. The answers provided in this section will be treated as confidential and will be used solely for the preparation of this plan and will not be provided to any other group or interest.

1. Please indicate your age range:
18 to 30 31 to 40 41to 50 51 to 60 60 or over

2. Gender: Male Female

3. Please indicate your highest level of education:

	Grade school/no schooling		High School Graduate/GED		College Degree
	Some High School		Some College/Trade School		Post Graduate degree

4. How long have you lived in Monmouth County?

	Less than 1 year
	1 to 5 years
	6 to 9 years
	10 to 19 years
	20 years or more

5. Do you own or rent your place of residence? Own Rent

6. What is your zip code?

7. What is your home address?

NATURAL HAZARD INFORMATION

8. In the past 10 years, which of the following types of natural hazard events have you or someone in your household experienced within Monmouth County and how concerned are you about the following natural hazards impacting Monmouth County? (Please check all that apply)

9. Please rank how prepared you feel you and your household are for the probable impacts of natural hazard events likely to occur within Monmouth County. Rank on a scale of 1 to 5, with 5 representing the most prepared.

	1		2		3		4		5
Not Prepared								Most Prepared

10. Why do you think you are prepared for the probable impacts from natural hazard events that may occur within Monmouth County? (Please check all that apply)

	Emergency preparedness information from a government source (e.g., federal, state, or local emergency management)
	Locally provided news or other media information
	Schools and other academic institutions
	Attended meetings that have dealt with disaster preparedness
Other

11. Information on the impacts on how to prepare for a natural disaster can be disseminated to the public in various ways. Of the methods described below please identify the top three way which would be MOST EFFICTIVE in helping you make your home safer and better able to withstand the impact of natural hazard events.

12. To the best of your knowledge, is your property located in a designated floodplain? Yes No
Not Sure

13. Do you have flood insurance? Yes No

14. Do you or did you have problems getting homeowners insurance? Yes No

NATURAL HAZARD MITIGATION
The term mitigation means to make something become less harsh or severe, to alleviate. Mitigation activities are those types of actions you can take to protect your home and property from natural hazard events such as floods, severe storms and excessive temperatures. Monmouth County is preparing an All-Natural Hazard Mitigation Plan to formulate and document mitigation strategies that will aid our community in protecting life and property from the impacts of future natural disasters.

15. If your property were located in a designated “high hazard” area, or had received repeated damages from a natural hazard event, would you consider a ”buyout”, elevation of the structure, or relocation offered by a public agency?

Yes No

Other Comments: