THREAT ASSESSMENT QUESTIONNAIRE

NATURAL DISASTER

1.       To determine whether you live in a geographic region prone to the formation of tornadoes, hurricanes, or an active seismic zone, please select your home telephone area code from the drop down box below.



2.      In the event of a major storm where electricity or water lines are not available for serveral days, would you prefer to store survival supplies at your dwelling instead of evacuating your dwelling for serveral days to a hotel, relative's home or public shelter?



3.      Do you live in a heavily wooded or grass / sage area prone to drought?



4.      Is the location of the dwelling you wish to protect from disaster located within a 100-year flood plane or located in an area that could be flooded from a dam collapse?



TERRORISM AND MAJOR ACCIDENTS

5.      Do you live within 25 miles of a major urban area with a population of 200,000 people or more?



6.      Are you concerned that your family or valuables could be at risk due to social unrest or an increasing level of crime in your area?



7.      Has there been an increase in the number of home invasions or kidnappings in your area?



8.      Do you live within 10 miles of one of these cities? Please select your city from the drop down box below.



If your city is not on this list, click here:



9.      Do you live within 5 miles of a railroad line that is used regularly by freight trains?



10.      Do you live in a state that contains a chemical facility that could threaten a million or more people in the event of an accident or terrorist attack on the chemical facility? Please select your state from the drop down list below.



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Copyright 2005, Secures Spaces. All Rights Reserved.
Secure Spaces LLC . 101 Westpark Drive, Suite 101 Brentwood, TN 37027
Phone 615 370-3008 . Fax 615 370-3002 . Toll Free 800-SECURES . Email info@secure-spaces.com