Screening Survey

Thank you for your interest in participating in our study on disaster preparedness and urban planning. This screening survey will help us identify individuals with relevant backgrounds for our research. Your responses will remain confidential and will be used solely for screening purposes.
Name: 


A red asterisk (*) indicates required questions.

  1. Age:*
    18-24
    25-34
    35-44
    45-54
    55-64
    65 or older


  1. Gender:*
    Male
    Female
    Non-binary / third gender
    Prefer not to say


  1. Education Level:*
    High school diploma/ GED
    Associate degree
    Bachelor's degree
    Master's degree
    Doctorate / Ph. D
    Other


  1. Employment Status:*
    Employed full-time
    Employed part-time
    Self-employed
    Unemployed
    Student
    Retired
    Other


  1. What is your current job title?*


  1. Do you have professional experience or education in government disaster preparedness or emergency management?*
    Yes
    No


  1. Do you have professional experience or education in urban planning or city development?*
    Yes
    No


  1. How much experience do you have with virtual reality?*
    None
    Less than 5 hours
    Between 5 and 20 hours
    More than 20 hours


  1. How often do you play 3D video games?*
    Never played
    A few times per year
    A few times per month
    A few times per week
    Daily


  1. How familiar are you with mapping software such as Tableau, Carto, or ArcGIS Pro?*
    Not familiar at all
    Somewhat familiar
    Moderately familiar
    Very familiar
    Expert


  1. Is there anything else you would like to share about your background or experience related to disaster preparedness, urban planning, virtual reality technology, or mapping software?*





Mr. Simmons
Dillon High School