Name of School: ___________________________________________

CONSOLIDATION TEMPLATE FOR THE FAMILY EARTHQUAKE PREPAREDNESS HOMEWORK

I. BEFORE AN EARTHQUAKE Response Response Response Response Response

Kinder (Indicate # of SPED (Indicate # of Gr. 1 (Indicate # of Gr. 2 (Indicate # of Gr. 3 (Indicate # of
Question respondents) respondents) respondents) respondents) respondents)
Yes No Not Sure Yes No Not Sure Yes No Not Sure Yes No Not Sure Yes No
1. Do we know the emergency numbers and contact details of the * Indicate number of respondents who answered yes, no, not sure
local fire department, police, hospital and barangay officials?
2. Do we all know where the nearest safe evacuation area from our
house is in the event of an earthquake?
3. Do we all know the earthquake evacuation plan at our
school/workplace?
4. Do we know how to evacuate infants/children, persons with
disabilities, and/or the 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 earthqaukes?
9. Do we all know if we are near any body of water? E.g. lake, sea,
river
10. As a result of an earthqauke, do we all know if we are vulnerable
to possible tsunamis?

In a scale of 1-5 with 1 being the lowest and 5 being the = how many of the = how many of the = how many of the
highest, describe your level of preparedness before an respondents rated their respondents rated their respondents rated their
earthquake. Kindly encircle your answer. 1 preparedness before an 2 preparedness before an 3 preparedness before an
earthquake as 1 earthquake as 2 earthquake as 3

II. DURING AN EARTHQUAKE Kinder SPED Grade 1 Grade 2 Grade 3

1. If the earthquake happens while travelling, what will be our initial * Indicate responses per item
response?

2. If the eathquake happens while at home, what will be our initial

response?

3. If the earthqauke 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?

In a scale of 1-5 with 1 being the lowest and 5 being the = how many of the = how many of the = how many of the
highest, describe your level of preparedness before an respondents rated their respondents rated their respondents rated their
earthquake. Kindly encircle your answer. preparedness during an preparedness during an preparedness during an
1 2 3
earthquake as 1 earthquake as 2 earthquake as 3
III. AFTER AN EARTHQUAKE & INITIAL SHAKING KinderResponse
(Indicate # of SPEDResponse
(Indicate # of Gr. 1Response
(Indicate # of Gr. 2Response
(Indicate # of Gr. 3Response
(Indicate # of
respondents) respondents) respondents) respondents) respondents)
Question
Yes No Not Sure Yes No Not Sure Yes No Not Sure Yes No Not Sure Yes No
1. Do we know the contact numbers of persons in our household? * Indicate number of respondents who answered yes, no, not sure
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 an 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 whom we can get accurate and credible data/
information so as not to contribute to false rumors which may cause
panic, etc.?
In a scale of 1-5 with 1 being the lowest and 5 being the = how many of the = how many of the = how many of the
highest, describe your level of preparedness after an respondents rated their respondents rated their respondents rated their
earthquake. Kindly encircle your answer. preparedness after an preparedness after an preparedness after an
1 2 3
earthquake as 1 earthquake as 2 earthquake as 3

Consolidated by:
 Response Response Response
# of Gr. 4 (Indicate # of Gr. 5 (Indicate # of Gr. 6 (Indicate # of
s) respondents) respondents) respondents)
Not Sure Yes No Not Sure Yes No Not Sure Yes No Not Sure

= how many of the = how many of the

eir respondents rated their respondents rated
an 4 preparedness before an 5 their preparedness
earthquake as 4 before an
earthquake as 5

Grade 4 Grade 5 Grade 6

 = how many of the
eir respondents rated their
an preparedness during an
4 5
earthquake as 4
= how many of the
respondents rated
their preparedness
during an
earthquake as 5
 # of Gr. 4Response
(Indicate # of Gr. 5Response
(Indicate # of Gr. 6Response
(Indicate # of
s) respondents) respondents) respondents)
Not Sure Yes No Not Sure Yes No Not Sure Yes No Not Sure

= how many of the = how many of the

eir respondents rated their respondents rated
n preparedness after an their preparedness
4 5
earthquake as 4 after an earthquake
as 5
Name of School: ___________________________________________

CONSOLIDATION TEMPLATE FOR THE FAMILY EARTHQUAKE PREPAREDNESS HOMEWORK

I. BEFORE AN EARTHQUAKE Response Response Response

Question Grade 7 (Indicate # of respondents) Grade 8 (Indicate # of respondents) Grade 9 (Indicate # of responden
Yes No Not Sure Yes No Not Sure Yes No
1. Do we know the emergency numbers and contact details of the local fire department, police, * Indicate number of respondents who answered yes, no, not sure
hospital and barangay officials?
2. Do we all know where the nearest safe evacuation area from our house is in the event of an
earthquake?
3. Do we all know the earthquake evacuation plan at our school/workplace?
4. Do we know how to evacuate infants/children, persons with disabilities, and/or the 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 earthqaukes?
10. As a result of an earthqauke, do we all know if we are vulnerable to possible tsunamis?
In a scale of 1-5 with 1 being the lowest and 5 being the highest, describe your level 1 = how many of the 2 = how many of the 3 = how many of
of preparedness before an earthquake. Kindly encircle your answer. respondents rated their respondents rated their the
preparedness before an preparedness before an respondents
earthquake as 1 earthquake as 2 rated their
preparedness
before an
earthquake as
3

II. DURING AN EARTHQUAKE Grade 7 Grade 8 Grade 9

1. If the earthquake happens while travelling, what will be our initial response? * Indicate responses per item * Indicate responses per item * Indicate responses per item
2. If the eathquake happens while at home, what will be our initial response?

3. If the earthqauke 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?

In a scale of 1-5 with 1 being the lowest and 5 being the highest, describe your level 1 = how many of the 2 = how many of the 3 = how many of
of preparedness during an earthquake. Kindly encircle your answer. respondents rated their respondents rated their the
preparedness during an preparedness during an respondents
earthquake as 1 earthquake as 1 rated their
preparedness
during an
earthquake as
3

III. AFTER AN EARTHQUAKE & INITIAL SHAKING Response Response Response

Grade 7 (Indicate # of respondents) Grade 8 (Indicate # of respondents) Grade 9 (Indicate # of responden
Question
 Question
Yes No Not Sure Yes No Not Sure Yes No
1. Do we know the contact numbers of persons in our household? * Indicate number of respondents who answered yes, no, not sure

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 an
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 whom we can get accurate and credible data/ information so as not to
contribute to false rumors which may cause panic, etc.?
In a scale of 1-5 with 1 being the lowest and 5 being the highest, describe your level 1 = how many of the 2 = how many of the 3 = how many of
of preparedness after an earthquake. Kindly encircle your answer. respondents rated their respondents rated their the
preparedness after an preparedness after an respondents
earthquake as 1 earthquake as 2 rated their
preparedness
after an
earthquake as
3

Consolidated by:
 Response

spondents) Grade 10 (Indicate # of respondents)

Not Sure Yes No Not Sure

4 = how many of 5 = how many of

the the
respondents respondents
rated their rated their
preparedness preparedness
before an before an
earthquake as earthquake as
4 5

Grade 10
er item * Indicate responses per item
 4 = how many of 5 = how many of
the the
respondents respondents
rated their rated their
preparedness preparedness
during an during an
earthquake as earthquake as
4 5

Response
spondents) Grade 10 (Indicate # of respondents)
Not Sure Yes No Not Sure

4 = how many of 5 = how many of

the the
respondents respondents
rated their rated their
preparedness preparedness
after an after an
earthquake as earthquake as
4 5