OMB Control No. 0648-XXXX
Expiration Date:
Draft Survey Questions to be used in the Damage Assessment Toolkit.
Where were you when the tornado touched down?
- At home
- At work
- At school
- At a business (such as a store or restaurant)
- In a vehicle (such as a car, truck, or bus)
- Somewhere else (please specify, VERBATIM)
- I don’t recall
(If they were at home) Which of the following categories best describes your current primary residence?
- Stand-alone (detached) permanent structure such as a house
- Condominium, town-house, or duplex that is attached to another structure - Apartment or dormitory room that is part of a larger residential complex - Mobile home (whether placed on a permanent foundation or not) - Boat, boathouse, ship, dock, or other floating structure
- Other type (please specify, VERBATIM)
(If they were at a business) Which of the following categories best describes the business?
- Single-story Building
- Multi-story Building
- Big Box Store, e.g., Lowes, Home Depot, Walmart
- Shopping mall
- Other type (please specify, VERBATIM)
(If they were at work) Which of the following categories best describes your work setting?
- Single-story Building
- Multi-story Building
- Big Box Store, e.g., Lowes, Home Depot, Walmart
- Shopping mall
- Industrial or Construction setting
- Other type (please specify, VERBATIM)
How safe did you feel in this structure when the event occurred? - Not at all safe
- Only slightly safe
- Somewhat safe
- Moderately safe
- Very safe
A Tornado Warning is issued by the National Weather Service when a tornado is imminent. Did you receive a tornado warning for your area? (select one option) - Yes
- No
How did you learn about the tornado warning? Please select all that apply. - Broadcast radio
- Weather radio (National Weather Service radio)
- Television
- Siren or other alarm
- Internet
- Social media such as Twitter or Facebook
- Word-of-mouth (including telephone or text messages, email, etc.) from family, friends, neighbors, employers, co-workers, etc.
- Automated text or phone notification
- Other source (please specify, [VERBATIM])
- I don’t recall
When you received the tornado warning, how confident were you that you could take action to protect yourself?
- Not at all confident
- Only slightly confident
- Somewhat confident
- Moderately confident
- Very confident
- I don’t recall
When you received the tornado warning, did you need to seek additional information on actions you could take to stay safe?
- Yes
- No
- Unsure
What did you do when you got the tornado warning? (select all that apply) - Nothing; continued my daily activities
- Monitored the situation, but did not move to shelter
- Moved to the most sheltered part of the building, but did not leave the building - Moved family or friends to the most sheltered part of the building, but did not leave the building
- Moved to a specially constructed storm shelter in the building
- Moved to a nearby location or building that provided safer shelter - Left the building and drove away from the tornado warning area
- Something else (please specify, VERBATIM)
- I don’t recall
A Tornado Watch is issued by the National Weather Service when tornadoes are possible in and near the watch area. Did you receive a tornado watch for your area? (select one option)
- Yes
- No
- I don’t recall
How did you learn about the tornado watch? (check all that apply) - Broadcast radio
- Weather radio (National Weather Service radio)
- Television
- Siren or other alarm
- Internet
- Social media such as Twitter or Facebook
- Word-of-mouth (including telephone or text messages, email, etc.) from family, friends, neighbors, employers, co-workers, etc.
- Automated text or phone notification
- Other source (please specify, [VERBATIM])
- I don’t recall
What did you do when you got the tornado watch?
- Checked emergency supplies
- Bought emergency supplies
- Made sure NOAA radio was on and charged/plugged in
- Had local TV News/Weather on
- Had local radio News/Weather on
- Checked my weather App on my phone frequently (NOAA weather radar, etc) - Called friends and family nearby to warn them
- Sought information on tornado safety
- Something else (please specify, VERBATIM)
- I don’t recall
What other information would you like us to know about this event? (This can be anything you want to share about your experience with this tornado) [VERBATIM]
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0648-XXXX Without this approval, we could not conduct this survey. Public reporting for this information collection is estimated to be approximately-6 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the National Weather Service at 1325 East West Highway Silver Spring, MD 20910, ATTN: Vankita Brown, vankita.brown@noaa.gov
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Vankita Brown |
| File Modified | 0000-00-00 |
| File Created | 2021-08-03 |