Survey – Disaster Preparedness

Thank you for your interest in disaster preparedness and helping have neighborhoods better situated in major emergencies. Please complete the survey below. This information will remain confidential and only used to aid MPCReady to provide disaster preparedness assistance.

Please enable JavaScript in your browser to complete this form.

Name *

Email *

Phone (optional)

What is your "neighborhood block" like today?

Check any/all that apply to you

• I know 5+ neighbors by name.
• I know what 5+ neighbors do for a living.
• I keep the neighborhood rooster.
• Someone else keeps the roster.
• My “block” has annual social traditions.
• We have other traditions, such as a neighborhood book club.
• Additional observations….

Additional observations of what our neighborhood is like

Where are you on your preparedness journey?

Check all that apply.

• Topic brand new to me.
• Just getting started.
• Been preparing for 2+ years.
• Been preparing for 5+ years.
• Could teach seminars on topic.

Would you like to meet more neighbors via considering the role of a Block oorrdinator?

• I am already a Block coordinator.
• Yes
• Maybe
• No

If No, because….

Would like to be added to the MPCReady newsletter mailing list.

You may un-subscribe at anytime.

• Yes
• No
• I am already a subscriber.

Please let us know the area you live:

• Atherton
• Bellehaven
• East Palo Alto
• Menlo Park
• North Fair Oaks
• Portola Valley
• Woodside
• Other area…….

Other (town, city, or incorporated county)

Street Location

Street location gives MPCReady the ability to provide you area specific information and help.

Comments or Questions

Submit Answers