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2. Are You Prepared for an Emergency or Disaster?

   1. Yes
   2. No
4. Which Natural Disasters Are Likely to Occur in Forsyth County?

   1. Earthquake
   2. Flooding
   3. Hurricane
   4. Tornado
   5. Severe Winter Weather
6. Are You Aware That there is Information about Emergency Preparedness on the City Website?

   1. Yes
   2. No, Was Not Aware
8. Do You Have a Plan for Your Pet in Case of an Emergency or Disaster?

   1. Yes
   2. No
10. Have You Attended Any of the Free Training Sessions on Severe Weather That Are Sponsored by Emergency Management?

    1. Yes
    2. No
12. Would You Take Time to Read the Information Available on the Emergency Management Website?

    1. Yes
    2. No
14. First Name
15. Last Name
17. Phone Number
18. Email Address
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20. 1. Receive an email copy of this form.
21. Email address

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22. Submit

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