Halls Gap Community Preparedness and Resilience Project Questionnaire To seek community feedback to validate the structure, delivery and demand for activities within the Halls Gap Preparedness and Resilience Project Step 1 of 4 25% HiddenRecord ID Incremental ID If at any stage you come across a question you cannot answer, please use the save button at the bottom of this form to save your application so you can return later when you have the appropriate information. During the 2020/21 fire season, NGSC is aiming to work with the greater Halls Gap community to deliver the Halls Gap Community Preparedness and Resilience Project. This project aims to build residential and business preparedness and resilience capacity via a number of interconnected activities and resources. Invitation to Participate We are inviting you to participate in and help shape some of the outcomes of this project as a community minded resident or business owner. Firstly, we would like to invite you to undertake this short survey. The survey and your responses will provide us with guidance and some direction over the proposed activities. Secondly, we would like to invite you to a follow up online community or small group engagement session. The session will provide you with an opportunity to hear more about each of the proposed activities and for Council to gain your valuable feedback. Covid Safety Note Due to Covid-19 safety precautions, the follow-up community or small group engagement session/s will be conducted online. In order to measure interest and schedule the online sessions, only those people who complete the survey and are therefore registered will be able to attend the follow up community or small group engagement sessions. Your detailsName* Given name(s) Surname Email* Enter Email Confirm Email Phone*Business hours 9am to 5pmTick all that apply* I live in Halls Gap (primary place of residence) I own a business in Halls Gap I work in Halls Gap I own property in Halls Gap Other Please specify*Residential address* Street Address Address Line 2 City State Postal Code Survey questionsThe project intends to deliver several activities and resources. Please review the activities and resources below and provide your view of the potential value to the Halls Gap residential and business community;Halls Gap Fire Preparedness Information*The potential development of, easy to carry and distribute, hardcopy resources with relevant bushfire preparedness and response information designed to enhance fire awareness within the residential, business and visitor community. Yes; that sounds great and I'd like to hear more: No; I don't think that would help, here's why: Additional comments*Individual Fire Planning Support*Expert guidance and support to develop your fire plan delivered via facilitated workshops. Yes; that sounds great and I'd like to hear more: No; I don't think that would help, here's why: Additional comments*Business Emergency Preparedness and Contingency Planning*Expert guidance and support to develop your business fire plan delivered via facilitated workshops. Yes; that sounds great and I'd like to hear more: No; I don't think that would help, here's why: Additional comments*Fuel Reduction Research*Focused on identifying sustainable, community informed fuel reduction opportunities, facilitated by the University of Melbourne in collaboration with willing Halls Gap community participants. Yes; that sounds great and I'd like to hear more: No; I don't think that would help, here's why: Additional comments*Halls Gap Community Resilience Group*The potential establishment of a community led/owned focus group, to act as the focal point for future prevention, preparedness, response and recovery planning activities for Halls Gap. Yes; that sounds great and I'd like to hear more: No; I don't think that would help, here's why: Additional comments*Engagement Session Opt-InI am interested in participating in an online community or small group engagement session to discuss and provide feedback against the activities highlighted in this survey* Yes No AcknowledgementPrivacy Collection Statement*Personal information requested on this form will only be used by council to carry out its functions and activities and will not be disclosed without your consent except where authorised by law. If you do not provide all or part of the personal information required we may not be able to process your request in an effective and efficient manner. You have the right to seek access to and correction of your personal information. I acknowledge that: I have read and understood the Privacy Collection Statement and consent to my personal information being used for the purpose specified. Submission Statement*This request can only be made by the named applicant. If you are submitting this application on behalf of another person or entity you must be duly authorised to do so. By submitting this application you are confirming that you are authorised to do so and declare that the information is correct to the best of your knowledge. I acknowledge that: I have read, understood and confirm I am complying to the above Submission Statement.
