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Free Climate Change Vulnerability Assessment Form Template

Free Climate Change Vulnerability Assessment Form

Name: Free Climate Change Vulnerability Assessment Form Template
Brand: Template.net
Availability: InStock

Climate Change Vulnerability Assessment Form

Please complete the following questions to help assess your vulnerability to climate change impacts.

Personal Information

Name

Age

Email

Phone number

Address

What climate hazards have you experienced in your area in the past 5 years?

(Check all that apply)

Extreme heatwaves
Flooding
Drought
Wildfires

How often do these climate events occur in your area?

Rarely
Occasionally
Frequently

Do you have any medical conditions that may be worsened by climate events?

If yes, please specify

Are you reliant on resources or utilities (e.g., electricity, water) that are often disrupted by extreme weather events?

What types of emergency resources do you currently have access to?

Generators
First aid kits
Stored water

How do you currently prepare for a climate-related emergency?

Creating a plan
Storing supplies
Staying informed

What additional resources or support would help you feel more prepared for a climate emergency?

Community programs
Training
Financial assistance

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Thank you for completing this assessment.

Your responses will help us better understand climate change vulnerabilities and work towards effective solutions.

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Evaluate climate-related risks with Template.net’s Climate Change Vulnerability Assessment Form Template. Fully editable and customizable, this template helps you assess potential vulnerabilities to climate change impacts. Editable in our AI Editor Tool, it ensures a comprehensive and tailored form that meets your specific needs, supporting informed decision-making for climate resilience.