“Pardon me. I am (Name) from the Disaster Medicine and Management graduate program at
Thomas Jefferson University in Philadelphia (Penna). Would you be willing to give me at least 15
minutes of your time to answer some questions about your perception of disaster and any
preparation you have made?”
(No)- “Thank you anyway. You may take this list of websites if you would like to find
information about this in the future.”
(Yes)-Thank you. Before we begin, has anyone asked you about disaster and preparation in the
(Yes)- OK. Are there any questions you would like to ask me? Thank you for your time.
(No)- Great. This is an educational study for us to learn Applied Research methods. I have some
questions to discuss with you. I will not record any information that can identify you, but rather
some basic demographic information and some information to help me understand your
thoughts and opinions about some specific actions related to a possible disaster. I cannot offer
you anything for answering these questions, other than to answer some of your questions and
provide a list of websites dealing with the subject.
Some of the questions may seem uncomfortable to think about. You may decline to answer any
question, and may stop the interview at any time.
Do I have your permission to continue?
1. What is your birth year? (If after 2002, loop back to the yellow highlighted line.)
2. Given the choices of rural, suburban, and urban, how do you describe the area where you
3. Is this similar to the place where you grew up? If not, can you tell me what type of area you
grew up in?
Same as today
Disaster – General:
4. Have you ever experienced a disaster or major emergency?
If yes: 5. Can you tell me about that experience: what was it and how did it alter your
If no: 5. Can you tell me about what sorts of disasters or major emergencies you are
prepared for? What lifestyle alterations do you anticipate?
6. On a scale from 1-5, with 1 being “not at all” and 5 being “very much”, if a disaster or major
emergency were to happen, how prepared are you for that event?
7. Why did you choose that rating?
Disaster – Loss of heat:
Imagine a situation in which you do not have a readily available source of warmth, and
temperatures are freezing (at or below 32 degrees F/0 degrees C).
8. Is this a disaster/major emergency?
9. Why did you answer that way?
10. How long do you think your body could function in this scenario?
11. On a scale from 1-5, with 1 being “not at all” and 5 being “very much”, in this scenario, how
difficult would it be for you to start a fire to keep warm?
12. Have you ever purposely started a fire before?
13. Tell me more about that situation.
14. What materials did you use?
15. What would you do if you didn’t have ready access to those materials?
13. What materials do you need to start a fire?
14. How would you obtain those materials?
Disaster – Coronavirus
16. On a scale from 1-5, with 1 being “not at all” and 5 being “very much”, how worried are you
17. Why did you choose that answer?
18. Do you feel prepared if you were to experience a nationwide shut down similar to the
situation in Italy?
19. Why or why not?
Thank you so much for helping me. Do you have any questions I could help you with?
This is a list of some resources you might like to check about our study topic.
Time ended_ _________ Last question completed_____ Questions declined (#’s)______
1. How old are you?
2. What is your highest form of education?
3. What is your relationship status?
4. Do you have kids living with you?
5. How do you provide for yourself and family?
6. What type of household do you live in?
7. What type of neighborhood do you live in?
8. Number of pets you have?
9. What emergencies do you perceive as threats to you?
10. Rank those level of threats from least to most likely to impact your daily life?
1-(lowest) – 5 (highest)
11. Have you experience those threats you listed?
12. Has anyone in your family, whether living with you or not, experienced those threats?
13. When experiencing those emergencies, did you feel adequately prepared?
14. In what ways, did you feel prepared for the emergency?
15. In what ways did you not feel prepared for the emergency?
16. Have you changed the way you prepare for disasters since those experiences?
17. How have you changed the way you prepare for disaster in general?
18. What are the reasons you did not change the way you prepare for disaster?
19. Are you aware of your community organizations (non-profits, religious, etc. ) that are
available for preparation, response and recovery emergency needs?
20. If a disaster were to happen today, do you feel prepared?
1- What is your birth year?
2- Are you
3- Do you think males can deal with emergencies better than females? Why?
4- Are you married? If yes, how many kids do you have? If no, please go to the next question?
5- Do you believe that having children make parents more aware of emergency preparedness?
Please explain how their awareness will likely be?
6- What do you think parents should do to prepare themselves and their family members for
7- Do you have pets?
If yes, how many? What are they? Please answer the next question.
If no, please go to question 9.
8- What have you done for your pets to be survived if a disaster strikes?
9- Please tell me a little about your education level and course of study?
10- Do you think your education can help you to be more prepared for emergencies or disasters?
If yes, how? If no, Why?
11- Have you experienced disasters or emergencies?
If yes, please explain what are they? And please answer the next question.
If no, please go to question 13.
12- Do believe experiencing these disasters make you more prepared for such future disasters?
13- How likely are you prepared for any future disaster that you may experience? Please choose
a number from 1 to 10 ( 1 = Not at all likely, 10 = Extremely likely). Why did you choose this
14- Do you believe that technology will be helpful for you to be more prepared for emergencies?
If yes, please explain how would you use it?
15- How do you think having no electricity will likely affect you during disasters?
16- Have you been in a shelter before due to a disaster or emergency? If yes, please explain what
obstacles have you experienced? If no, please tell me if you know where is the closed shelter to
your home and what supplies you can find there?
17- Could you please tell me what you know about COVID-19?
18- How do you think this pandemic can spread?
19- What have you done to protect yourself and your family from this pandemic?
20- Do you believe that staying at home for 14 days will be beneficial to prevent spreading it?
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