1
In the past, have you
personally, or with a
group, participated in collecting goods (clothing, food, etc) for overseas disaster victims?
2
In response to past international emergencies, what types of items have you
donated?
3
If you have been reluctant to make cash
donations to a professional relief agency in the past, which of the following
influenced your decision most?
4
If you have made donations in the past,
which of the following most influenced your decision (check all that apply)?
5
If you have been involved in making
material contributions for international disaster relief, which were the
greatest obstacles in carrying out your efforts?
6
When preparing to respond
to an
international disaster, which resources do I rely upon to find information
regarding the best way to respond?
7
If you participated in
community collections, what type of group were you associated with?
8
Which of the following
would inspire you most to become an active participant in a donations drive?
9
If you have ever
participated in a food or clothing drive for disaster victims overseas and were
unable to secure transportation or an agency to accept these donations, where
did the donations finally end up?
10
Which of the following
do you consider to be the most valuable contribution you can make for
international disaster victims?
11
For which of the
following international emergencies have you responded? (Check all that
apply and indicate whether the donation was of material, cash, or expertise)
12
Which of
the following statements do you believe to be true regarding international disaster relief
activities?
13
Tell us a little it about yourself,
please.
Age Range
You Are
What Country Are You From:
Select One
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Bouvet Island
Brazil
British Indian
Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African
Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic
Republic
Cook Islands
Costa Rica
Cote d'ivoire
Croatia (Hrvatska)
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
(Malvinas)
Faroe islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern
Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and Mc Donald
Islands
Holy See (Vatican
City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea,
Democratic People's Rep
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republ
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia (Yugoslav Republic)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk island
Northern Mariana
Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadin
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
14
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make comments or write a few sentences, please do so here.
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