PA Windshield Survey Form - County of Berks 2008 free printable template

WINDSHIELD SURVEY FORM Municipality EMC Name Private Property Date / Time For definitions of Reporting Categories see back of form Destroyed Major Minor Affected Inaccessible Businesses Mobile Home Multi-Family Single Family Public Bridges Culverts Fire / EMS Facility Hospital Damaged Directions 1 If damage has been sustained by your municipality document the number of property types impacted in the appropriate column. 2 DO NOT use this form to document monetary estimates of damage use...

How to fill out PA Windshield Survey Form - County

How to fill out PA Windshield Survey Form - County of Berks

1. Obtain a copy of the PA Windshield Survey Form from the County of Berks website or relevant office.
2. Review the instructions provided with the form to understand the requirements and purpose.
3. Start filling out the basic information sections such as date, location, and the individual or organization conducting the survey.
4. Proceed to the observations section, where you will document findings related to public health and safety.
5. Use clear and concise language to describe the conditions observed during the survey, noting any specific issues or concerns.
6. Make sure to complete all required fields and provide additional comments where necessary.
7. Review the completed form for accuracy and completeness.
8. Submit the form to the designated County of Berks office by the specified deadline.

Who needs PA Windshield Survey Form - County of Berks?

1. Local health departments and agencies conducting public health assessments.
2. Community organizations working to address health and safety issues in the area.
3. Researchers and students studying public health and environmental factors.
4. Residents and stakeholders interested in understanding community health trends.

People Also Ask about

What is a windshield survey journal?

A Windshield Survey is a survey performed by health professionals to collect data by literally driving around and look out their windshield to assess people and environment. Health professionals use this data to develop a Community Health Plan.

How do you start a windshield survey paper?

Guidelines for a windshield survey Use a map. If you can, try to use a team of at least two. Drive at a moderate speed, and avoid unexpected actions. Drive both on major and minor streets, particularly in residential neighborhoods. Pull over at regular intervals to make and compare notes. Try to be inconspicuous.

What are boundaries in windshield survey?

Hacienda Heights, Santa Fe Springs, La Habra Heights, Pico Rivera, La Mirada, and Norwalk are the cities that border Whittier. Highway 5, Highway 605, Highway 10, and Highway 5 identify the boundaries as well. Whittier Boulevard divides the city into high-income (north) and low-income (south) communities.

How do you write a windshield survey paper?

Windshield Survey Template and Instructions.Summary and Analysis What are the community's outstanding strengths? What seem to be the community's biggest challenges? What was the most unexpected thing you observed? What aspect of the community really stood out for you?

What should a windshield survey include?

What are windshield and walking surveys? The age, nature, and condition of the community's available housing. Infrastructure needs – roads, bridges, streetlights, etc. The presence or absence of functioning businesses and industrial facilities. The location, condition, and use of public spaces.

What are the components of a windshield survey in nursing?

Components of windshield and walking surveys The survey should include the following components: 1) Boundaries: Geographical boundaries, political and administrative boundaries, neighbourhood. 2) Housing structure and zones: Structure of houses, the type of dwellings, zones in the community.

What should a windshield survey include?

A windshield survey is conducted from a car and provides a visual overview of a community. Conditions and trends in the community that could affect the health of the population are noted. This data provides background and context for working in the community or for conducting a community assessment.

What are the components of a windshield survey quizlet?

Some components include ethnicity, values/beliefs (churches, youth group advertisements, etc), physical environment, health and social services, economy, transportation, politics, education, recreation, etc.

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What is PA Windshield Survey Form - County of Berks?

The PA Windshield Survey Form - County of Berks is a document used by participants to conduct a visual assessment of community health and environmental factors through a drive-by evaluation.

Who is required to file PA Windshield Survey Form - County of Berks?

Local health departments, organizations, or individuals involved in community health assessments are typically required to file the PA Windshield Survey Form - County of Berks.

How to fill out PA Windshield Survey Form - County of Berks?

To fill out the PA Windshield Survey Form - County of Berks, participants should drive through the designated areas, observe specific conditions and factors, and record their observations as outlined in the form's instructions.

What is the purpose of PA Windshield Survey Form - County of Berks?

The purpose of the PA Windshield Survey Form - County of Berks is to identify and document community health needs, resources, and potential areas of concern through a visual assessment.

What information must be reported on PA Windshield Survey Form - County of Berks?

The form requires reporting information on community resources, health risks, environmental conditions, and demographic details observed during the windshield survey.