To download blank versions of the 2013 ShakeOut Survey, select your category from the list below.

NOTE: The Survey has 6 sections of questions. The files linked to below are blank surveys for each section. For school groups (districts, county offices, etc.), three choices are used as the survey lets respondents answer just about what their schools did, what their headquarters did, or both.

Question numbers will not match those in the online survey though they are in the same order, as the printable survey includes many questions that are skipped based upon participant responses.

Survey for K-12 School Districts, County Offices of Education, or Private Groups of Schools:

    If answering about ShakeOut activities at schools only

    If answering about ShakeOut activities at headquarter offices only

    If answering about activities at schools and at headquarter offices

Survey for K-12 Schools

Survey for Home Schools (same as K-12 Schools)

Survey for Colleges and Universities

Survey for All Other Organizations

Survey of individuals and households

Complete Survey