Preparedness Evaluation

Please be sure to answer all of the questions on the survey thoroughly, in order to get an accurate assessment of your preparedness.

The intent of this survey is to give you a quick sence of where some of your preparedness shortcomings may be.

No One is expected to score 100%!!

BOOKS

1. I have assembled a well rounded preparedness library covering all major topics?
  Yes
  No

2. I have READ the books in my preparedness Library?
  Yes
  No

3. I read those books AND actually put their preparedness suggestions to use!!
  Yes
  No

CLOTHING

4. I have a Summer & a Winter sleeping bag for each member of my family?
  Yes
  No

5. Everyone in my family has a pair of readily available sturdy shoes/boots?
  Yes
  No

6. I have a pair of shoes at my bedside I could put on with no light at night?
  Yes
  No

COMMUNICATIONS

7. I have a AM/FM/Shortwave radio that is Battery or Solar Powered?
  Yes
  No

8. I have 2-Way radios (CB, FRS, GMRS) for my family members?
  Yes
  No

9. I have spare batteries or Solar Chargers for my radios for: None, 3 days, 7 days, 15 Days, 30 Days + Each member of my family has a Cell Phone?
  Yes
  No

10. I have 2nd way to charge each phone without Utility Power?
  Yes
  No

11. I have my HAM License and a HAM Radio?
  Yes
  No

DEFENSE

12. I own a Dog:
  Yes
  No

13. My Yard is fully fenced:
  Yes
  No

14. I have Deadbolts on all my doors and locks on all windows:
  Yes
  No

15. I have a burglar alarm and arm and use it daily/nightly:
  Yes
  No

16. I have a Handgun for each member of my family (age appropriate):
  Yes
  No

17. I have a Rifle for each member of my family (age appropriate):
  Yes
  No

18. I have at least 1,000 rounds of ammunition for each weapon:
  Yes
  No

19. I have a Safe Room in my home:
  Yes
  No

20. My family has a Home Invasion Plan and we have drilled it:
  Yes
  No

21. I have a concealed Carry Permit and carry my weapon with me at all times:
  Yes
  No

DRILLS

22. I have staged a Fire Drill in my home for my family in the last 24 months:
  Yes
  No

23. I have staged an Emergency Evacuation (Bugout) Drill for my family in the last 24 months:
  Yes
  No

24. I have staged an Intruder/Robbery/Break in Drill for my family in the last 24 months:
  Yes
  No

25. I have staged a 48 hour Power Outage Drill for my family in the last 24 months:
  Yes
  No

26. I have staged a 48 hour Water Outage Drill for my family in the last 24 months:
  Yes
  No

DOCUMENTS

27. I have paper copies of all important documents:
  Yes
  No

28. I have electronic copies of all important documents:
  Yes
  No

29. I have a paper and electronic lists of contacts, Phone, Names, Addresses, ect:
  Yes
  No

30. Each member of my family has a current valid Passport:
  Yes
  No

EVACUATION

31. I have a specific planned destination to go to for emergency relocation:
  Yes
  No

32. I have an appropriatly packed 72hr Kit for each member of my family:
  Yes
  No

33. I have a Bug Out Bag for my family:
  Yes
  No

34. I have paper maps for my City, County, State and route to planned destination:
  Yes
  No

FINANCES

35. I keep the following “Cash On Hand” in my home:
  <$250
  $500
  $1000
  $1500
  $2000
  $2500
  $5000+

36. I have Silver or Gold coins for emergency use:
  Yes
  No

37. I have an Emergency Fund for all monthly expenses for:
  None
  1 Month
  3 Months
  6 Months
  1 Year+

38. I have paid off all of my credit card debt:
  Yes
  No

39. I have paid off ALL my debts:
  Yes
  No

FOOD

40. For every member of my family, I have at least Canned:
  None
  <15 Days
  30 Days
  90 Days
  1 Year+

41. Dehydrated/Freeze Dried:
  None
  <15 days
  30 Days
  90 Days
  1 Year+

42. MRE/Retort:
  None
  3 days
  7 days
  15 Days
  30 Days +

43. I regularly rotate my food and never allow any to expire:
  Yes
  No

44. I have a way to cook my food (camp stove/grill/ect) without any utility power or Natural Gas:
  Yes
  No

FUEL

45. I have stored stabilized gasoline:
  None
  5 gallons
  10 Gallons
  25 Gallons
  50 Gallons +

46. I have backup fuel, such as Butane, White Gas, wood, Propane or Charcoal for emergency cooking:
  Yes
  No

47. I have backup fuel, such as wood or propane for emergency home heating:
  Yes
  No

LIGHTING

48. I have a flashlight in every bedroom:
  Yes
  No

49. I have backup lighting (LED Lamps, Kerosene Lamps, Solar Lights, ect):
  Yes
  No

50. I have Long Burning candles for:
  None
  3 days
  7 days
  15 Days
  30 Days +

51. I have spare batteries to power my flashlights for:
  None
  3 days
  7 days
  15 Days
  30 Days +

MEDICAL

52. I know and am trained in First Aid:
  Yes
  No

52. I have a well stocked first aid kit in my home:
  Yes
  No

53. I have my prescriptions on hand for:
  <2 weeks
  1 Month
  2 Months
  3 Months
  6 Months+

54. I have well rounded supply of Over The Counter Medications:
  Yes
  No

55. I regularly exercise and maintain my physical health:
  Yes
  No

56. My family has a Medical Emergency Response Plan and knows what to do:
  Yes
  No

NUCLEAR / BIOLOGIAL / CHEMICAL

57. I have a Geiger Counter or radiological survey meter:
  Yes
  No

58. I have assembled a decontamination kit for NBC exposure:
  Yes
  No

59. I have an appropriate Gas Mask for each member of my family:
  Yes
  No

60. I have an NBC Suit for each member of my family:
  Yes
  No

PANDEMIC

61. My family is ready to impose a “Self Issolation Reverse Quarentine” for:
  None
  15
  30
  60
  90 Days

62. I have a substancial supply of disspoable, Gloves, Masks, Booties, Suits, Goggles, ect:
  Yes
  No

63. My family is fully prepared to create, supply and staff an issolation/sick room in our home:
  Yes
  No

POWER

64. I have a portable electric Generator:
  Yes
  No

65. I have started and run my generator in the last:
  Week
  Month
  Quarter
  Year
  Don’t remember

66. I have a solar/Wind/Hydro electric system in my home:
  Yes
  No

SANITATION

67. I have a chemical or Organic toilet:
  Yes
  No

68. I have a “Lugable Loo” or other disposable emergency Toilet:
  Yes
  No

69. I have an Outhouse on my property:
  Yes
  No

70. I have stored Lime to use with an emergency outdoor pit toilet:
  Yes
  No

71. I have stored lots of extra toilet paper:
  Yes
  No

SHELTER

72. I have a fire extinguisher in my home and know how to use it:
  Yes
  No

73. I have a Carbon Monoxide Detector for use in an emergency:
  Yes
  No

74. I know my neighbors and could count on them in an emergency:
  Yes
  No

TRANSPORTATION

75. My vehicle fuel tank is currently:
  Near Empty
  1/4
  1/2
  3/4
  Full

76. I have a 4 wheel drive vehicle:
  Yes
  No

77. I have a fire extinguisher in my car and know how to use it:
  Yes
  No

78. I keep a Bug Out Bag in my vehicle at all times:
  Yes
  No

79. I have a GPS unit in my vehicle or readily available:
  Yes
  No

80. I have a well stocked first aid kit in my vehicle:
  Yes
  No

WATER

81. I have enough stored water for each member of my family for:
  None
  3 days
  7 days
  15 Days
  30 Days +

82. I have water treatment chemicals (bleach, iodine, aerobic oxygen, etc.) stored:
  Yes
  No

82. I have a water purification system (filter):
  Yes
  No

Final Word

Meet with your family today and discuss why you need a preparedness plan. Explain the dangers of fire, flood, wind, and earthquakes to children. Review your existing plan and supplies or start working on your plan and collecting supplies as soon as possible. Practice your plan by discussing the two places your family will meet in an emergency. Practice the emergency escape routes from your home. Teach the older children about utility shut-off locations. Make sure all family members know the location of emergency supplies such as the first aid kit and the Emergency Go Kits.

Where should we send your evaluation? *

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