(Template) Family Earthquake Preparedness Homework - Results and Summary

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FAMILY EARTHQUAKE PREPAREDNESS HOMEWORK

RESULTS AND SUMMARY

CONGRESSIONAL DISTRICT GRADE LEVEL

SCHOOLS DISTRICT CLASS SECTION

SCHOOL ID CLASS ADVISER

SCHOOL NAME HOMEWORK DEADLINE (DATE)

No. of No. of Remarks


Learners homework
submitted
Male
Female
Total

BEFORE AN EARTHQUAKE: ANSWER TABULATION


Questions Yes No Not
Sure
1. Do we know the emergency numbers and contact details of the local
fire department, police, hospitals and barangay officials?
2. Do we all know where the nearest safe evacuation area from our house
in the event of an earthquake?
3. Do we all know the earthquake evacuation plan at our
school/workplace?
4. Do we all know how to evacuate infants/children, persons with
disabilities, and/or elderly in our house?
5. Do all family members know the initial response during an earthquake
(Duck-Cover-Hold)?
6. Are overhead shelves/cabinets at home free of heavy objects that may
injure people?
7. Are heavy furniture, cupboards, and other heavy appliances
strapped/bolted to the walls/floor?
8. Do we store food and drinking water for possible earthquakes?
9. Do we all know if we are near any body of water? E.g. lake, sea, river
10. As a result of an earthquake, do we all know if we are vulnerable to
possible tsunamis?
11. In a scale of 1 – 5, with 1 being the lowest and 5 being the highest, describe your level of preparedness
before an earthquake?
1 2 3 4 5

DURING AN EARTHQUAKE: SUMMARY OF ANSWERS


Question Answer Summary
1. If the earthquake happens
while travelling, what will be
our initial response?
2. If the earthquake happens
while at home, what will be
our initial response?
3. If the earthquake happens
while at home, how do we
proceed with the evacuation?
4. If the earthquake happens
while travelling, where do we
meet?
5. If someone in the family or
someone who lives with us is
injured, what should be our
initial response?
6. If we are trapped inside the
house, what do we do?
7. If the designated evacuation
area is damaged, where is our
alternative?
8. If the communication is down,
how long are we going to wait
for each other at the
designated meeting place?
9. In a scale of 1 – 5, with 1 being the lowest and 5 being the highest, describe your level of preparedness
during an earthquake?
1 2 3 4 5

AFTER AN EARTHQUAKE & INITIAL SHAKING: ANSWER TABULATION


Questions Yes No Not
Sure
1. Do we know the contact numbers of persons in our household?
2. Do we know when to evacuate?
3. Do we know that we should not go back to our homes/buildings due to
possible effects of aftershocks?
4. Are we prepared for possible effects of aftershocks such as fires,
further damage to house/building?
5. Is our home free of possible fire-triggers after an earthquake?
6. If we are vulnerable to tsunamis, do we know how to properly
evacuate?
7. Do we know how to preserve or keep food safe after an earthquake?
8. Do we know from home we can get accurate and credible
data/information so as not to contribute to false rumors which may
cause panic, etc?
9. In a scale of 1 – 5, with 1 being the lowest and 5 being the highest, describe your level of preparedness
after an earthquake?
1 2 3 4 5

CLASS ADVISER OBSERVATION AND ACTIONS TAKEN:

Submitted to: Received by:*

NAME OF SCHOOL HEAD


Position
*Class adviser is advised to keep a received copy.
FAMILY EARTHQUAKE PREPAREDNESS HOMEWORK
RESULTS AND SUMMARY

CONGRESSIONAL DISTRICT SCHOOLS DISTRICT

SCHOOL ID SCHOOL NAME

Grade
1 2 3 4 5 6 7 8 9 10 11 12 TOTAL
Level
Male
Female
TOTAL

BEFORE AN EARTHQUAKE: ANSWER TABULATION


Questions Yes No Not
Sure
1. Do we know the emergency numbers and contact details of the local
fire department, police, hospitals and barangay officials?
2. Do we all know where the nearest safe evacuation area from our house
in the event of an earthquake?
3. Do we all know the earthquake evacuation plan at our
school/workplace?
4. Do we all know how to evacuate infants/children, persons with
disabilities, and/or elderly in our house?
5. Do all family members know the initial response during an earthquake
(Duck-Cover-Hold)?
6. Are overhead shelves/cabinets at home free of heavy objects that may
injure people?
7. Are heavy furniture, cupboards, and other heavy appliances
strapped/bolted to the walls/floor?
8. Do we store food and drinking water for possible earthquakes?
9. Do we all know if we are near any body of water? E.g. lake, sea, river
10. As a result of an earthquake, do we all know if we are vulnerable to
possible tsunamis?
11. In a scale of 1 – 5, with 1 being the lowest and 5 being the highest, describe your level of preparedness
before an earthquake?
1 2 3 4 5

DURING AN EARTHQUAKE: SUMMARY OF ANSWERS


Question Answer Summary
1. If the earthquake happens
while travelling, what will be
our initial response?
2. If the earthquake happens
while at home, what will be
our initial response?
3. If the earthquake happens
while at home, how do we
proceed with the evacuation?
4. If the earthquake happens
while travelling, where do we
meet?
5. If someone in the family or
someone who lives with us is
injured, what should be our
initial response?
6. If we are trapped inside the
house, what do we do?
7. If the designated evacuation
area is damaged, where is our
alternative?
8. If the communication is down,
how long are we going to wait
for each other at the
designated meeting place?
9. In a scale of 1 – 5, with 1 being the lowest and 5 being the highest, describe your level of preparedness
during an earthquake?
1 2 3 4 5

AFTER AN EARTHQUAKE & INITIAL SHAKING: ANSWER TABULATION


Questions Yes No Not
Sure
1. Do we know the contact numbers of persons in our household?
2. Do we know when to evacuate?
3. Do we know that we should not go back to our homes/buildings due to
possible effects of aftershocks?
4. Are we prepared for possible effects of aftershocks such as fires,
further damage to house/building?
5. Is our home free of possible fire-triggers after an earthquake?
6. If we are vulnerable to tsunamis, do we know how to properly
evacuate?
7. Do we know how to preserve or keep food safe after an earthquake?
8. Do we know from home we can get accurate and credible
data/information so as not to contribute to false rumors which may
cause panic, etc?
9. In a scale of 1 – 5, with 1 being the lowest and 5 being the highest, describe your level of preparedness
after an earthquake?
1 2 3 4 5

SCHOOL HEAD WITH SDRRM TEAM RESULTS ANALYSIS AND PLANS:

Prepared by: Approved for submission:

NAME OF SDRRMC NAME OF SH


Position Position

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