Emergency Preparedness Worksheet

 

 🧠 Part 1: Mental & Emotional Readiness

1. What emergency scares me the most? Why?

📝
🧘
💬
📞 Emergency Contacts:

• Name + Phone

• Alternate method (e.g., WhatsApp, Email):

• 📍 Meeting Points:

• Nearby:

• Out-of-town:

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Item	Have It?	Notes / Expiry
3L of Water per person/day	☐
Non-perishable food (3 days)	☐
First-aid kit + medications	☐
Flashlight + extra batteries	☐
Power bank (charged)	☐
Portable radio (battery/hand)	☐
Whistle + multitool	☐
Duct tape + gloves	☐
Copies of important documents	☐

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• ☐ ID (passport, Aadhaar, etc.)

• ☐ Medical prescriptions

• ☐ Insurance (health/home/life)

• ☐ Emergency contacts

• ☐ Property/bank records

☐ Cloud Storage | ☐ USB Drive | ☐ Waterproof Ziplock Folder

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☐ Earthquake ☐ Flood ☐ Cyclone ☐ Fire ☐ Cyberattack ☐ Other: _______
🚓 Police:
🚑 Ambulance:
🔥 Fire Dept:
📡 Local Alert Service Link/App:

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☐ Smoke Alarms
☐ CO Detector
☐ Fire Extinguisher
☐ Exit Routes Marked
☐ Heavy Furniture Anchored
Room: ______
Supplies Stored: ______

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Item	Packed?	Notes
Water + Snacks	☐
ID Copies	☐
Basic Tools (knife, tape)	☐
Medications	☐
Spare Clothes + Blanket	☐
Flashlight & Batteries	☐

☐ The fuel tank is half-full at all times
☐ Car toolkit & jumper cables
☐ Tire patch kit & map

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Task	Person Responsible
Grab an emergency kit
Check on the elderly/pets
Lock doors, switch mains

📍 Nearby:
📍 Out-of-town:
☐ Food | ☐ Carrier | ☐ Vaccination papers | ☐ ID tag

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☐ First Aid / CPR
☐ Boil + Purify Water
☐ Fire safety & extinguishing
☐ Map reading & compass
☐ Self-defense basics

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I will store ₹________ in small bills in a safe place.
☐ Health ☐ Life ☐ Property ☐ Vehicle
☐ Backup debit/credit card stored separately
☐ Offline payment method: _______________

• ---

• ---

• 
  

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I will review and rotate my supplies every:
☐ 3 months ☐ 6 months

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☐ Timed evacuation test
☐ One-night power-out simulation
☐ Go-bag grab test
☐ Communication line check

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2. What calms me down when I’m anxious or panicking?

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3. Write down your calming mantra or breathing technique:

• ---

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4. Draft your Family Communication Plan:

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🎒 Part 2: 72-Hour Emergency Kit Essentials

Checklist: Tick what you already have ✅

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📜 Part 3: Backup Important Documents

List the following documents you need to digitize & waterproof:

• ---

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📁 Backup Method Plan:

• ---

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🗺️ Part 4: Risk Mapping & Local Alerts

1. What types of disasters are likely in your area? (Tick)

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2. Emergency Services Numbers (Write below):

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🏠 Part 5: Home Safety Plan

1. Safety Upgrades Completed:

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2. Safe Zone at Home:

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🚗 Part 6: Vehicle & Go-Bag Checklist

Go-Bag Items Packed:

• ---

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Vehicle Items:

• ---

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🧑‍🤝‍🧑 Part 7: Family + Pet Planning

Assign roles for each family member:

• ---

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Meeting Spots:

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🐾 Pet Prep Checklist:

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🧯 Part 8: Learn Basic Survival Skills

Mark skills you know (or commit to learn):

📘 Enroll in one course by (date): _______

💰 Part 9: Financial Backup Plan

Cash Reserve:

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Insurance Documents:

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Backup Cards / Access:

• ---

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📦 Part 10: Smart Stockpiling Strategy

🛒 Food & Essentials I Use Regularly:

• ---

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Restock & Rotation Plan:

• ---

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🧪 BONUS: Practice Drill Checklist

☐ Monthly fire drill

🗓️ Next scheduled practice date: ___________

✍️ Reflection Prompt

What’s the one thing I can do today to be better prepared?