DisasterAssistance.gov - Take Questionnaire

Answer 11 simple questions in this anonymous questionnaire to receive a list of disaster assistance from across the federal government including FEMA. You will see and can print the list of assistance that might be available to you based on your answers to the questions and your particular situation.

Note: Completing this questionnaire helps determine applicant eligibility but does not guarantee assistance.

As a result of this disaster, are you in need of assistance in any of the following categories? (select all that apply)
Employment
Financial
Food
Housing
Legal
Medical

What describes your housing/living situation prior to the disaster? (select all that apply)
Rent
Own
Rural

Has your home flooded as a result of this disaster?
Yes
No
No Answer

Have you or a member of your household experienced life-changing events as a result of this disaster? (select all that apply)
Permanent disability
Death of a current spouse, parent, or child
Death of a former spouse
Death of a disabled spouse
Temporary or permanent relocation that resulted in an address change

Are you or a member of your household receiving government assistance or benefits (for example, Housing Choice Voucher Program (Section 8) assistance, Social Security benefits, etc.)?
Yes
No
No Answer

Are you or one of your direct dependents a U.S. citizen or a non-citizen with eligible immigration status?
Yes
No
No Answer

Are you or a member of your household enrolled in a federally recognized American Indian Tribe or Alaska Native Tribe?
Yes
No
No Answer

At the time of the disaster, of what state, territory, or tribal land were you a primary, legal resident?

Was this disaster a result of a terrorist act that occurred outside of the United States?
Yes
No
No Answer

Are you a victim of a crime that occurred during the disaster or in the period immediately following a disaster?
Yes
No
No Answer