Climate & Community Health Vulnerability Assessment in Sunset Park
The Climate & Community Health Vulnerability Assessment is a survey developed by members of the community which will help gather data on the intersection between climate and health. There are several existing underlying chronic health conditions in Sunset Park, a community which is made up of predominantly working class people of color. As sea level rises, the survey will collect data regarding experiences of residents when it comes to extreme weather events, heat, emergency preparedness, and other types of vulnerabilities. The results from the survey will allow us to better advocate for the community, as well as directing resources for vulnerable populations.

We want to assure you this survey is confidential. The data collected will only be used to advocate for resources in Sunset Park. The survey is about 10 minutes long and you can go for as long as you want.
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1. Do you live in Sunset Park? *
1 - a. If you used to live in Sunset Park: When did you move out? (mm/dd/yyyy)
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1 - b.  Reason for leaving and how long did you live there?
1 - c. If yes, how long have you been living in Sunset Park?
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2. Have you seen damp spots or mold on the walls or ceilings of your home in one or more rooms in the past 30 days? *
3. Does your household experience flooding during a storm? *
4. In the time you have lived in Sunset Park, have you noticed a change in the frequency of extreme weather events? (i.e. more frequent storms, flooding, heat events, etc.) *
4- a. If yes, please explain:
5. Do you feel Sunset Park is prepared for the next extreme weather event? *
5 - a. If no, why not?
6. Does your household have a plan in case of an emergency related to a natural disaster/extreme weather event? *
6 - a. If yes, please describe. In case of an emergency, where do you go? Who do you call?
7. Have you or anyone in your household ever been hospitalized due to extreme heat while living in Sunset Park? *
7 - a. If yes, what month and year? (mm/yyyy)
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8. Do you have an air conditioner unit in your home? *
9. In the past, during the Summer have you had to turn off your air conditioning when you needed it because of your concern with the electric bill? *
10. Have you, or someone in your household utilized a cooling center during the summer? (air-conditioned public facility, i.e. library) *
10 - a. If yes, which one did/do you go to?
 11. During hot days, is it harder for you to cool down due to social distancing and COVID-19? (i.e., at beaches/parks) *
12. How would you describe the air quality in Sunset Park, year round? *
13. Have you or someone in your household been affected by COVID-19? *
13 - a. If yes, how has COVID-19 affected you or a member of your household?
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 13 - b. If COVID-19 has affected you or someone in your household, were you/they able to receive medical attention?
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14. Do you feel like state and local officials gave you the information you needed to adequately prepare for COVID-19? *
15. How many jobs do you currently have? *
15 - a. Has your employment situation changed because of COVID-19? *
16. Would you say that in general your health is? *
16 - a. Have you been diagnosed with a chronic health problem? If so, which one(s)? (Please check all that apply) *
Required
17. During the time you have lived in Sunset Park, have you or a member from your household ever experienced a weather-related disaster? (for example, Superstorm Sandy, heat waves during the summer, flooding, etc.) *
17 - a. If so, which one/s? When? (mm/yyyy) [i.e., Hurricane Irene -08/2011, Superstorm Sandy - 10/2012, Hurricane Dorian - 09/2019]
18. Do you have health insurance? If yes, where do you get it from? (i.e., private, medicaid, medicare) *
19. In your experience, how easy/difficult has it been to get medical care in Sunset Park when you needed it? *
20. Has the COVID-19 crisis impacted your ability to get your needed medication(s)? *
21. Are you or anyone in your home physically disabled or have limited mobility? *
22. Does anyone in your home use life-sustaining equipment or a home health care device, that requires electricity, such as an oxygen tank, ventilator or wheelchair? *
22 - a. If so, who and what kind of equipment?
23. What is your race/ethnicity? (Please check all that apply) *
Required
 24. What is your age? *
25. How many people live in your household? *
25 - a. How many bedrooms does your home or apartment have? (Note: The purpose of this question is to assess heat vulnerability, especially during quarantine under COVID-19) *
26. Do you own or rent your home? *
27. What best describes your household income level? *
28. What is the highest level of education you completed? *
29. What is your building and street number? (For mapping purposes - make a note of the building number and street/avenue, apartment # is not necessary). *
29 - a. Borough, State: *
29 - b. Zipcode: *
30. Would you be interested in a follow up survey? *
30 - a. If yes, what is your e-mail address?
30 - b. Best number to reach you at?
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