UUCM Emergency Plan Questionnaire

In order to develop a meaningful emergency plan for all who attend UUCM, we ask that every attendee complete this questionnaire. Some who do not appear to have mobility challenges might very well need assistance under emergency circumstances for other physical, cognitive or psychological reasons. Please take a few minutes to complete this questionnaire so that the UUCM Emergency Preparedness Safety Team can take the needs of each person into account. If you have any questions or do not feel comfortable completing this survey, please contact Mary Moriarty. 

Please note: If after reading this questionnaire you do not identify as either someone in need of assistance or someone who would be an emergency volunteer, please provide your contact information and answer “no” to those two questions so that we know you have completed the survey.