[Directions: Insert information for our COIN Interviews or Surveys in the following template. Fill in the agency name and representative where indicated.]
Interview/Survey Template: Learning From Other Organizations
Conduct an interview or a survey with people in and outside our agency who routinely communicate with members of at-risk populations. Use this information to augment our existing emergency communication plans. A survey or interview list could include: 
•	Professionals such as first responders – Fire, police, and emergency medical services 
	
•	People in charge of programs such as WIC or Meals on Wheels 
	
•	Instructors in ESL classes 
	
•	Health care practitioners 
	
•	Utility companies 
	
•	Church groups 
	
•	Other 
	
We will be able to use this information to start planning ways to augment our existing communication plan to include at-risk population outreach.
•	Do you have a list of at-risk populations your organization serves? Could it be made available to our organization? 
	
•	What are your organization’s outreach capabilities? 
	
•	What type of community network do you have set up to reach the different populations you serve? Do you use U.S. postal address or physical location (street address) lists, phone numbers, fax lists, e-mail listserv, or other means? 
	
•	How many people do you serve? 
	
•	What geographic regions does your organization serve?