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Online Surveys & Forms

Hazard Mitigation Survey

Please correct the field(s) marked in red below:

HazardBanner 

Dear Community Member,

 

Is your home or office building susceptible to damage from earthquakes, wildfires, or floods? Do you want to recover more quickly from disasters and prevent future damage from these and other hazards?

The City of Belmont Office of Emergency Services is leading a project to update the City’s Hazard Mitigation Plan. This plan identifies natural and human caused hazards throughout the City. It also presents an assessment of critical facilities vulnerable to these hazards. The new and updated plan will list potential actions needed to reduce risk and future damage.

Although the plan enables the City to be eligible for various assistance grants, the plan’s value really lies in the identification of hazards and helps the City and its residents better prepare for disasters.

Your participation can make our community more resilient to a disaster. We know you are busy and respectfully request a few moments of your time to respond to this brief survey. 

 

1
Where do you live?
 *
Where do you live?
2

Do you own or rent?

 *
Do you own or rent?
3

What type of supplemental insurance do you have? (Check all that apply.)

 *
What type of supplemental insurance do you have? (Check all that apply.)
4

In your household has anyone done any of the following preparedness activities? (Check all that apply.)

 *
In your household has anyone done any of the following preparedness activities? (Check all that apply.)
5
Do you think you are well informed about the dangers of the hazards affecting Belmont?
 *
Do you think you are well informed about the dangers of the hazards affecting Belmont?
6

What hazards are most likely to impact Belmont? (Check all that apply.)

 *
What hazards are most likely to impact Belmont? (Check all that apply.)
7
Would you attend public education classes dealing with hazard awareness & preparedness if they were offered?
 *
Would you attend public education classes dealing with hazard awareness & preparedness if they were offered?
8
What are the most effective ways for you to receive information about disaster preparedness? (Check all that apply.)
 *
What are the most effective ways for you to receive information about disaster preparedness? (Check all that apply.)
9

Contact Information, (optional):

Contact Information, (optional):
  1. To receive a copy of your submission, please fill out your email address below and submit.