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QUESTIONNAIRE

General Information (Will Not be Published)

Name
Age
Qualification
Contact No.
Occupation / Source of Income Local Resident
Residence type (Own, Rent, Govt, Temp Shelter)
No of family members
Estimated cost of damage to building
Estimated cost of damage to households
Damage to agricultural land/crops
Damage to livelihood
Deaths during floods if any
Permanent disability during floods if any
Lost family members if any.

Response
Very Avera Very
Q.No Question Low High
Low ge High
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EMERGENCY PREPAREDNESS
1. Do you have any prior knowledge about flood
hazard?
2. Have you ever witnessed/experienced floods?
3. Is prior information regarding floods provided to
you?
4. Is any training programme being conducted to
focus on flood mitigation?
5. Is any awareness programme being conducted on
floods hazard, its preparedness and response?
6. Has mock exercises being conducted? (sirens for
early warning or issue warning through mosques,
community centre, TV cable network, local
newspapers and other available means of
communication)
7. Were Watan Cards beneficial to you?
8. Are you satisfied with the role of media in raising
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your voice for immediate relief and response?

9. Are educational facilities provided in the affected
area after the flood?
10. Do you face any security issues regarding your
family and belongings especially females and
children?
11. Is the community cooperative enough to help
each other during flood disaster?
12. Do you receive timely first aid?
13. Are you satisfied with evacuation efforts for
strangled families?
14. Are you provided with temporary shelters after
flood?
15. Are you satisfied with administrative
arrangements like security, hygiene, food etc in
temporary shelters?
16. Did government officials visited after flood?
17. Are you satisfied with the role of NGOs?
18. Are you satisfied with the basic facilities provided
e.g. drinking water, food, clothing, shelter during
disaster?
19. Do you get any psychological assistance to
recover from trauma?
20. Have you got any Govt financial assistance to
rebuild your houses?