I.

Personal Profile
Name (OPTIONAL):
Age: (18-30) 31-43 44-56 57-69 70 above
Highest Educational Attainment (Specify grade, year, or degree):
Type of House:
Source of Livelihood:
Monthly Income:
Number of Children in the Family:
II. Instruction: Check ( ) the box if YES if you agree and NO if you disagree.
Before the Typhoon: Yes: No:
(Antis ya bagyo)
1. I listen to the radio or watch TV for news update.
(Manderengel ak na balitan ed radyo tan ed tv.)
2. I have emergency kits and survival packs prepared such as medicine, cash, important documents and
whistles.
(Oalay emergency Kits tan importantin gagamit na nausar me, (tambal, kwarta, umportantin papeles).
3. I prepare candles, flashlights and extra batteries in case the power goes out.
(Man pipiyepara kamiy kandela, linti tan malaem na baterya na nagamit ed ingkaanggapoy silew).
4. I know where the planned evacuation area is in case I have to evacuate and my family.
(Antak no iner so kulaan na evacuation center na nayarin awiten tan pantuluyan na pamilyak lapod
sakuna.)
5. I store clean water and easy-to-prepare foods like canned goods.
(Mantitipon kamiy malinis na danom tan nayari lan kanen (delata, biskwit, noodles ).
During the Typhoon Yes: No:
(Kapelesan na Bagyo)
1. l comply to the announcements and advisories given by our local government.
(Unuunor ak ed sara'y anunsyo ya iteter dara'y walad lokal na gobyerno.)
2. I keep an eye on things that can cause fire such as candles, gas lamps, etc.
(Dapat kon tawagan ira'y inarok ed bilay ya anggapo ni ed abong.)
3. I close my windows and turn off the main power switch before going to the evacuation center.
(Inkapot ko ya amin so bintana tan sama'y main power switch na abong mi antis ya unlikas ed sama'y
available na evacuation area center.)
4. I stay away from low-lying beaches or other locations which may be swept away by tides or waves.
(Unaarawi ak ed sara'y abebeban lugar o arum na lokasyon singa sa'y dayat ya saragto ak ya naiyanor no
maples tan angkakabaleg so daluyon.)
5. I wear protective gears such as boots and raincoats to protect myself from water-borne diseases.
(Mansusulong ak na kapote tan bota ya panprotekta ed sakisakit lapod marutak na danom.)
After the Typhoon Yes: No:
( Kayari'y Bagyo)
1. I return home only after authorities have deemed the area safe.
(Umpawil kami labat ed kaabungan mi no wala lay permisyo nanlapod otoridad.)
2. I report damaged electrical cables and fallen electric posts to the authorities.

(Irereport ko ira may adederal o apultot na kabli'y kuryente dyad otoridad.)

3. I carefully look for poisonous animals like snakes that may have entered our house.
(I-inspeksyunen ko no oalay limoloob na ooleg ed abong mi.)
4. I wear protective gears like thick gloves and sturdy boots when cleaning our house.
(Mansosolong ak na maligen ya isusulong (gwantis,bota etc.) no manlilinis ak na abong/panayaman.)
5. I immediately brought my family members to the hospital who suffered from leptospirosis, fever, etc.
(Iyayakar kon tampol so pamilya'k ed ospital na oalay nalilitna dan petang tan sakit gaya ya trankaso,
Leptospirosis, etc.)
Coping Mechanism Yes: No:
(Panagbangon ed erap)
1. The authorities are giving enough food supplies.
2. I have reserved enough money in case I have run out of food supplies and/or need to go in a hospital.
3. I go to my family relatives in case our house is destroyed.
4. There is a place assigned by the authorities where we can stay for a while.
5. I have first aid kits in case of emergency.
6. There is a free medicine and/or check-up given by the authorities.
7. I have cleaning materials to clean the surroundings inside and outside our house.