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Following is a copy of the questionnaire used to study the
effects of pet ownership ion household evacuation behavior, pet evacuation
failure and pet rescue attempts following a hazardous materials spill (propane)
due to a train derailment in March 1996.
SURVEY OF WEYAUWEGA RESIDENTS AFFECTED BY THE TRAIN
DERAILMENT OF MARCH 4, 1996
Center for Applied Ethology and Human Animal Interaction
Veterinary Disaster Management Research
1243 Veterinary Pathology Building
West Lafayette, IN 47907-1243
Thank
you for taking the time to answer the questions in this questionnaire. We
believe your input will help improve our understanding of evacuations and how to
make them safer and more efficient.
All questions should be answered by, or on behalf of, the
main care provider for the pets in your household,
unless stated otherwise.
As
you answer the questions, please always select the best answer from the choices
you are given, unless stated otherwise.
For
clarification throughout the questionnaire, we have used the following dates:
March 4, 1996:
day of the train derailment,
March 8, 1996:
the day of the pet rescue,
i.e., the day when owners were escorted into the town to collect their pets, and
March 20,
1996:
the day officials declared it to
be safe to return to your home in Weyauwega.
All
responses will be kept in strict confidence. None of the data generated from
this study will be used to identify individual person’s responses. A summary
of the results will be made available to you through the Waupaca County Humane
Society, your local newspaper and the Weyauwega public library.
SECTION ONE:
1. At
the time of the derailment (on March 4) , which pets did you own and where were
they? Please indicate how many of each type of pet.
|
Pets
|
Number of pets
in Weyauwega
|
Number of pets
at home
|
|
Dogs
|
___
|
___
|
|
Cats
|
___
|
___
|
|
Birds
|
___
|
___
|
|
Reptiles
|
___
|
___
|
|
Fish
tanks
|
___
|
___
|
|
Other
(please list types)
|
___
|
___
|
If you did not own pets at the time of
the derailment, please stop here and return this questionnaire in the pre
stamped envelope. Thank you.
2. Who
is the primary care provider for your pet(s): ______________
3.
What is the sex of the primary care provider for your pets?
male
female
4.
How old is the main care provider for your pets?
____ years old.
5. At
the time of the train derailment (March 4) how many of your family members were
affected and where were they? (Please indicate all members).
|
|
Family members
|
In
Weyauwega
|
At
home
|
Out
of town
|
|
|
Primary
care provider for the pet(s)
|
___
|
___
|
___
|
|
|
Other
family members
|
___
|
___
|
___
|
6.
How dangerous did you think the propane fire was at
the time of the derailment (March 4)?
Not serious
Moderately serious
Very serious
No opinion
7. How
many days did you think you would be evacuated at
the time of the derailment (March 4)?
___ days
8. How
dangerous did you think the propane fire was on
the day of the pet rescue (March 8)?
Not serious
Moderately serious
Very serious
No opinion
9. What
was the single most important source
of information that made you decide to evacuate? (check one only)
None
Another family member
An official (e.g.,
police, fire dept., emergency management)
Neighbor
Friend
Television or radio
Other
If
other, describe briefly ________________
10. Approximately
how far away from your home in Weyauwega did you stay during the evacuation?
___ miles.
11. Did you take any of the following items/valuables with you when you
evacuated? (check all that apply)
purse or wallet
bank statements
mortgage
documents
birth certificate
medications
passports
jewelry
will
insurance
policies
work (e.g., for
the office or tools)
favorite photos
favorite
clothing
other objects
(please list) _________________________
12. Did you return to your home in
the secured area before the days of the official safety inspection on March 20
to collect any valuables?
Yes
No
If
“yes”, please list which items these were ____________________
13. What was the most recent disaster
you experienced before the train derailment?
I have not experienced any major disasters before the
train derailment
The disaster I experienced was: (please describe
briefly) ____________
_____________________________________________________________
14. Have you had a prior
experience that prepared you to deal with the train derailment?
Yes
No
If yes, please describe briefly __________________________________
15.
Did you have a disaster preparedness plan at
the time of the train derailment?
Yes
No
16. Have you made a disaster
preparedness plan since the train
derailment?
Yes
No
17. Which of the following do you
consider important in planning for disasters (check all that apply):
myself
children
pets
valuables (e.g. jewelry)
medications
food and water
first aid equipment
a place to stay
other (please list)
_____________________
SECTION TWO: INFORMATION ABOUT YOUR PETS
18. At the time of
the evacuation on March 4, what
instructions were you given about your pets?
No instructions
Take your pets with you
Do not take your pets
with you
19. Do you think
you were prepared to provide appropriate level of care for your pet(s) when the
train derailed?
Yes
Somewhat
No
20. How many new
pets have you acquired since the
train derailment?
None: ___
Number of dogs: ___
Number of cats: ___
Number of birds: ___
Number of fish: ___
Number of fish tanks: ___
Number of reptiles: ___
Other (please list what species) ________
21. Have you made
preparations for your pets in the event of another disaster?
Yes
No
The following sections are about what happened to your pet during
the train derailment. Please answer all questions that apply by circling either
yes or no. If a question or answer does not apply to your type of pet, leave it
blank. Listing your pets will help you organize your responses.
You will notice that each section asks for information on your
pet’s name and type. If you keep the same pet in the same column you will not
have to repeat this information each time.
QUESTION
SET A
This section applies to ALL pets
that you had at the time of the train
derailment (March 4).
|
Question
Set A
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Pet
1
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Pet
2
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Pet
3
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Pet
4
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Names
|
|
|
|
|
|
What
type of animal is this pet
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|
|
|
|
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At the time of the train derailment
(March 4):
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|
|
|
|
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22.
How many years had you owned this pet?
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yr.
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yr.
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yr.
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yr.
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23.
Did this pet usually live in the house?
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yes
no
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yes
no
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yes
no
|
yes
no
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|
24.
Did this pet have its own crate or carrier for transport?
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yes
no
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yes
no
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yes
no
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yes
no
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|
25.
Was this pet vaccinated in the year before the train derailment?
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yes
no
|
yes
no
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yes
no
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yes
no
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26.
Was this pet licensed in Waupaca County?
|
yes
no
|
yes
no
|
yes
no
|
yes
no
|
|
27.
Did this pet require medication regularly or special feed?
|
yes
no
|
yes
no
|
yes
no
|
yes
no
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28.
Did you take ALL of your pets with you when you evacuated on March 4, the day of the train derailment?
Yes
No
If you answered yes to question 28 (you evacuated ALL of your pets
on March 4), please go to question 45, page 9.
If
NONE of your pets were evacuated or no attempt to rescue was made them at any
time after
the train derailment please go to question 54, page 10.
QUESTION
SET B
Please
answer the following set of questions for ALL pets that you did
NOT take with you on March 4, the day to the train derailment.
|
Question
Set B
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Pet
1
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Pet
2
|
Pet
3
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Pet
4
|
|
Names
|
|
|
|
|
|
What
type of animal is this pet
|
|
|
|
|
|
My
reasons for NOT taking my pet with me
on the day of the train derailment (March 4) were:
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|
|
|
|
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29.
I was too concerned about my own and my family’s safety
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
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30.
I thought this pet would be safe
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
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31.
I thought I would not be gone for long
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
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32.
I could not catch this pet
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
|
33.
I did not know where this pet could stay
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
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34.
I could not transport this pet
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
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35.
I was impaired and could not take this pet
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yes
no
|
yes
no
|
yes
no
|
yes
no
|
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36.
I had other reasons
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yes
no
|
yes
no
|
yes
no
|
yes
no
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If
you had other reasons, please describe briefly _____________________________
QUESTION
SET C
Please
answer the following set of questions for only those pets for which a rescue was
attempted after March 4 (the day of
the train derailment) but before March 8 (the
day of the pet rescue). If no attempt was made to rescue your pets during this
time, please skip to question set D.
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Question
Set C
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Pet
1
|
Pet
2
|
Pet
3
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