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Clinton County EMA Planning Factors Survey

Clinton County EMA is collecting general planning information from residents. Your answers will help update emergency plans, the Hazard Identification and Risk Assessment, preparedness outreach, response planning, shelter planning, evacuation planning, and future project decisions.

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If you have taken a Clinton County EMA survey in the past, this version is new and is designed to collect different information than previous surveys.

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This survey does not ask for your name, street address, phone number, email address, or personal medical details. Please do not include personal identifying information in any written response.

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The survey should take only a few minutes to complete.

Planning Factors Survey

1. Where is your household located?

Why we ask: This helps EMA understand planning needs by general area, not by street address.

2. On most weekdays, where is your household during daytime hours? Pick the answer that best fits most people in your household.
Most stay in the same city, village, or township where we live
Most go somewhere else in Clinton County
Most go outside Clinton County for work, school, or regular activities
Our household is split between Clinton County and outside Clinton County
Our schedule changes often
Not sure / does not apply

Why we ask: Emergencies can happen when people are away from home.

3. Which hazards or disruptions concern your household the most for the future? Select up to 3.

Why we ask: This helps EMA understand what residents are most concerned about.

4. During a major emergency, how long could your household safely manage at home without outside help if power, normal shopping, and some services were disrupted?
Less than 24 hours
1–2 days
3–4 days
5–7 days
More than 7 days
Not sure

Why we ask: This helps EMA understand how quickly households may need help during a major disruption.

5. If your household had no power and no running water, how long could you manage with the food and drinking water you already have at home? Think about drinking, cooking, hygiene, cleaning, pets, and special diets.
Less than 24 hours
1–2 days
3–4 days
5–7 days
More than 7 days
Not sure

Why we ask: Food and water needs can become serious quickly when power and water are both disrupted.

6. During a power outage, how long could your household power basic essentials? Think about refrigerator, medical equipment, well pump, heat, cooling, phone charging, internet, or other critical needs.
We do not have backup power
We can only charge phones or small devices for less than 24 hours
We can only charge phones or small devices for 24 hours or longer
We can power some essentials for less than 24 hours
We can power some essentials for 1–3 days
We can power some essentials for more than 3 days
We have a whole-house or standby generator
We have solar, battery storage, or another backup power system
Not sure

Why we ask: Backup power can change how long a household can safely stay home.

7. During a long power outage, could your household stay safely warm or cool at home? Think about extreme heat, extreme cold, backup heat, fans, generators, battery power, safe fuel use, and whether anyone in the home is sensitive to temperature.
No, we do not have a safe backup heating or cooling option
We could stay safely warm, but not safely cool
We could stay safely cool, but not safely warm
We could stay safely warm and cool for less than 72 hours
We could stay safely warm and cool for 72 hours or longer
We would leave home if indoor temperatures became unsafe
Not sure

Why we ask: Unsafe indoor temperatures can become dangerous during long outages.

8. Does your household include anyone who may need extra help during an emergency or long power outage? Check all that apply. Do not include names or personal medical information.

Why we ask: Some households may be affected faster or more severely during emergencies.

9. What would most likely cause your household to need outside help during a major emergency? Pick one.
Loss of power for too long
No safe heating or cooling
Running out of food or drinking water
Medication, oxygen, medical supply, or refill needs
Medical equipment that needs electricity
No transportation or fuel
Unsafe home conditions
Unable to receive emergency information
Caring for children, older adults, pets, or livestock
Not sure
Other

Why we ask: This helps EMA understand what may cause households to need help first.

10. If your household had to leave home quickly during an emergency, could you safely evacuate? Pick one.
Yes, we have reliable transportation and could leave without help
Yes, but we may need extra time due to children, older adults, pets, livestock, disability, or medical needs
Maybe, but fuel, vehicle access, or road conditions could be a problem
No, we would likely need transportation help
We are not sure what we would do
Prefer not to answer

Why we ask: Some households may need more time or help to leave during an emergency.

11. If your home became unsafe or could not be used during an emergency, where would your household most likely go first? Pick one.
Stay with family or friends in Clinton County
Stay with family or friends outside Clinton County
Stay at a hotel or motel
Use a public shelter if one was opened
Stay in a camper, RV, vehicle, or similar option
I am not sure where we would go
We may need help finding a safe place to stay
Other

Why we ask: This helps EMA estimate how many people may need shelter or other support.

12. How does your household usually get local emergency information? Check all that apply.

Why we ask: This helps EMA understand how residents receive important information.

13. What basic utilities or home systems does your household depend on? Check all that apply.

Why we ask: Homes can be affected in different ways during the same emergency.

14. Which best describes your household? Pick one.
Own home and have homeowners insurance
Own home and do not have homeowners insurance
Rent and have renters insurance
Rent and do not have renters insurance
Live with family or others and am not sure about insurance
Prefer not to answer
Other

Why we ask: Insurance and housing status affect how households recover after damage.

Please include the approximate timeframe, general location, level of impact, and how your household recovered. Do not include names, street addresses, phone numbers, or personal medical details.


Example: “Water outage in Sabina last year; affected cooking and hygiene; used bottled water until service returned.”


Why we ask: Real examples help EMA understand how emergencies affect households.

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