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Shelter Location

This survey is for Local Emergency Management Coordinators and Shelter Operators. 
Please answer all questions to the best of your ability. There are four pages of questions, with 22 questions total. Please take the next 10-15 minutes to fill out this survey. 
There are 22 questions in this survey.
Your Information
Please include your contact information. 
(This question is mandatory)
First and Last Name:
(This question is mandatory)
Email Address:
Work Phone:
Mobile Phone:
Are you the Local Emergency Management Coordinator for the Municipality/Township/Borough the shelter is located in?
Shelter Information
Please answer all questions. 
(This question is mandatory)
Shelter Name:
(This question is mandatory)
Main Contact for Shelter. Please include full name, email address, and phone number. 
This can be the Local EMC, shelter manager, or building contact. 
Shelter Plan:
If you have a shelter plan, please upload here. 
Shelter Type:
Shelter Capabilities/ Accommodations
Please answer to the best of your ability. 
ADA Compliant:
Pet Friendly:
Backup Generator:
Public Transportation Access:
For individuals who use public transportation, is the walk from a bus stop to the shelter reasonable?
Cooling Center:
Warming Center:
Emergency Contact
Please include an emergency contact for the shelter. A 24 hour available number should be provided. 
Emergency Contact Full Name:
Phone Number:
Back up Emergency Contact:
Back up Contact Phone Number: