Þ Yu Save Tikim Smol Box Long Fom, Mo Raetem Ol Infomesen Long Eria Long Empti Box

NASONAL DISASTA MANEJMEN OFIS CDCCC Fes Komuniti Assessmen Fom Version 11, last edited 16 Feburary 2015 Yu save tikim smol box long fom, mo raetem ol infomesen long eria long empti box. Taem disasta I finis, plis kompletem fom bifo 24 hawa I pass, mo karem I go long eria council.A. INFOMESEN BLONG YU MO BLONG ERIA(Q1) Vilej / Komiuniti(Q2) Eria Kaonsel / Wod(Q3) Aelan(Q4) Provens(Q5) Nem blong man/woman we yu assesssem hem(Q6) Kontak namba blong hem(Q7) Deit blong disasta(Q8) Deit blong we yu makem assessmen(Q9) Taem we yu mekem assessmen(Q10) Nem Blong Yu(Q11) Hemi man or womanQ11)  M  F(Q12) Yu wok long wea mo wanem posisen blong yu  CDCCC  NGO  Organisation  Narafala(Q13) Kontak namba blong yuB. POPULESEN INFOMESEN – I gat hamas pipol lo komiuniti? Hamas (Q14) Everiwan we oli liv long vilej blong yu (Q15) Hamas haos we wan famili I silip/kuk long hemC. INFRASTRAKJA - Transpot iko long Vilij Mo Komiuniti (plis tikim )I gat I gat be Nogat Komen lo Vilij hemi damej (Q16) Smol rod blong wokabot    (Q17) Rod Blong Trak    Version 11 – Updated February 2015(Q18) Pasis Blong Bot    (Q19) Eapot    (Q20) Narafala   D. SEF HAOS / SEF PLESPutum nem mo ples blong ol sef ples ( blong Hamas i Sef Haos I tsunami) or Komuniti sef haos ( Nara fala stap long gat damej? Komen disasta): sef haos (Q21) (Q22) (Q23)E. KOMIUNITI BILDING– Hamas damej I stap long komiuniti haos? (plis putum namba)I gat hamas Hamas I gat ful Hamas I gat Hamas I gat long komiuniti?damej bigfala damej smol damej (destroyed) (Q24) Ol klasrum / Skul (Q25) Klinik, Dispenseri, Aid Post (Q26) Jios (Q27) Haos blong gavmen (Q28) Komiuniti Haos / Nakamal (Q29) Stoa / Coop(Q30) I gat I naf medicine long klinik/dispenseri? Yes  No F. WOTA SAPLAE – Damej blong ol Wota blong dring we I stap long komiuniti (Plis tikim )Ol Ples we yu karem Nogat I gat I gat be Komiuniti I usum water wota blong dring Hemi blo? Komen damej Drink Swim Garen (Q31) Spring Wota we I kamaot long kraon       (Q32) Riva blong dring       (Q33) Well we I stap andanit long kraon       (Q34) Han Pam well       (Q35) Wota Saplae we I usum elektrisiti       (Q36) Ol narafala ples Raetem:______      Version 11 – Updated February 2015(Q37) Ren wota / I gat hamas Hamas tank I Hamas tank I Hamas I empti Hamas I tank tank long fulap? no fulap o klosap damej? komiuniti? tumas? empti?(Q38) Komuniti I gat inuf wota blong dring? (Plis tikim wan ) Yes  No (Q39) Sipos yu tikim ‘No’, hamas pipol I nidim wota blong dring? *G. KLINLINES MO HAEGIN(Q40) Wanem kaen toilet ol pipol long komiuniti oli usum? (Q41) Sop blong wasem hand (plis tikim ) Before After disasta disasta Bus nomo   Hamas haos I gat Bus Toilet   sop blong wasem Toilet we I usum simen (VIP)   hand? Toilet we yu kapsaedem wota (Wota sil)   Hamas haos I nogat Toilet we yu prestem wota   sop blong wasem Ol Narafala Toilet - Plis Raetem:   hand?(Q42) Hamas toilet oli stil usem? H. DAMEJ LONG OL KAKAI MO ANIMOL LONG VILEJ Putem totol namba blong animol Numba OK Numba ded Komen (Q43) Pig (Q44) Faol (Q45) Buluk (Q46) Narafala: I. OL KAIKAI LONG KROAN(Q47) Wanem ol maen kaikai?Nogat Damej I gat Damej Komen (hamas dei bae blong stap gud)(Q48) Kaikai long   kraon(Q49) Vegetables  (Q50) Frut tri  J. OL SAMTING WE YU MAKEM MONI LONG HEM (Q51) Markem ol wanem kaen Nogat I gat Komen Version 11 – Updated February 2015 krop mo narafala we I gat damej Damej DamejKokonas  Kakao  Kava  Spaes  Kofi  Narafala krop:  Kaikai long solwota  Forestri  K. KOMIUNIKESEN(Q52) Wanem kaen komiunikesen I stap wok nao ia? (plis tikim ) Mobael fon blong TVL  Tele-Radio  Intanet  Mobael fon blong Digicel  Radio Vanuatu  Satelaet fon  Telefon  Radio - FM 107  Narafala (Raetem):L. KOMUNITI HAOSHOL DAMEJ – Go toktok long ol lida blong wan wan haos we famili I silip/kuk long hem long komuniti:HAOSH HELT POPULESEN OL Hamas pipol i gat helt problem long wan I gat hamas pipol long wan wan haos? Raetem wan haos? Nem blong Lida Oldfala blong Oldfala Woman Man Bebe De Bigfala Smol Handikap Gat Haos Blong Man Pikinini (5-17) Lus (60+) (18-59) (0-4) d Kil Kil Disabiliti Bel Slip Ful Damej wan (60+) wan Haosho l         Version 11 – Updated February 2015             Sipos spes ia I fulap plis tanem pepa blong faenem moa spes. Taem yu rikodem evri haoshol plis ko daon long en blong nekis pej blong atemap totol namba blong evri haoshold. Version 11 – Updated February 2015HAOSH HELT POPULESEN HAOS OL Hamas pipol i gat helt problem long wan I gat hamas pipol long wan wan haos? Raetem wan haos? Tikem sipos I gat damej long haos  Nem blong Lida Oldfala blong Oldfala Woman Man Bebe De Bigfala Smol Handikap Gat Haos Blong Haos Blong Slip Kitjin Toilet Man Pikinini (5-17) Lus (60+) (18-59) (0-4) d Kil Kil Disabiliti Bel Slip Ful Damej Smol Damej Damej Damej wan (60+) wan Haosho l                                                    TOTELEM EVRI SAMTING BLONG OLGETA HAOS TUGETA  Atemap ansa blong olgeta haos tugeta. Mo raetem long ol box andanit:Yu tok Oldfala Woman Oldfala Man Pikinini (5-17) Bebe De Bigfala Smol Lus Handikap Gat Haos Blong Haos Blong Slip Kitjin Toilet tok (60+) Man (18-59) (0-4) d Kil Kil Disabiliti Bel Slip Ful Damej Smol Damej Damej Damej Version 11 – Updated February 2015 long hamas (60+) Haosh ol Hamas Hamas  Hamas  Hamas  * (Q60 * * * * (Q67) (Q69) (Q53) (Q54) (Q55) (Q57) (Q58) (Q59) ) (Q61) (Q62) (Q63) (Q64) (Q65) (Q66) (Q68) Version 11 – Updated February 2015Ricomentesen moo l nara nidHAOSHOL Putum namba blong item we yu luk se ol man oli rili nidim. Inaf nomo blong oli save olem tide kasem i kam gud bakeken Raetem Nem blong M Lida blong wan wan e Haoshol d i c a Mat l Nidem Nidem Tarp/ Wota Bed ol samting Baket blong Lamp s wota kakai Ol Nara nid rope contena linen blong kuk slip u Y/N Y/N p p l i e s Version 11 – Updated February 2015TOTELEM EVRI SAMTING BLONG OLGETA HAOS TUGETA  Atemap ansa blong olgeta haos tugeta. Mo raetem long ol box andanit: M e d i c a Mat l Yu tok tok long hamas Tarp/ Wota Bed Ol samting wota kakai Other need Baket Blong Lamp s Haoshol rope contena linen blong kuk Y/N Y/N (specify) Slip u p p l i e s Version 11 – Updated February 2015SENDEM INFOMESEN I GO LONG NDMO MO PROVINSREP #____ #____ #____ #____ #____ #____ #____ #____ VILEJ AELAN Q39 Q60 Q61 Q62 Q63 Q66 Wota Ded Bigfala Smol Kill Lus Haos Kill DamejTaem yu sendem teks mesej finis yu mas sendem fom iko long eria sekreteri. Sipos yu no save kasem eria sekreteri, yu save sendem fom iko long Provinsial Disasta Komiti long Provins.Sipos yu iusem wan fon/teleradio blong sendem infomasen blong fom ia. Taem yu toktok hemi importen blong talem namba blong kwesten festaem, afta talem ansa. Version 11 – Updated February 2015

Þ Yu Save Tikim Smol Box Long Fom, Mo Raetem Ol Infomesen Long Eria Long Empti Box

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