Sample – Your Name, Logo, & Images Here

Helping improve your home safety.

Virtual CRR Emergency Preparedness Sample

Welcome to our Home Safety Survey and thank you for your participation! It will take just a few minutes to finish. Fill in your information below to get started.


Escape Plans

Do you have an escape plan if there were an emergency such as a fire, earthquake, or other natural disaster in your home?

Can ALL occupants of your home escape without assistance in an emergency?

Do you have a meeting place outside of your residence to meet in the event of an emergency?

Do you know your community evacuation routes for hurricanes, wild fires, tsunamis, flooding, etc.?

Emergency Supplies

Do you have a 72 hour kit with supplies for each member of your home?

If you could no longer use your home for shelter, do you have a back up plan?