Risk Assessment Questionnaire

Answer the following questions for a quick risk assessment of your home.

1) Is there a gun in your home?

YES NO UNSURE
2) Is there a gun in your home that is kept loaded or unlocked?

YES NO UNSURE
3) Do you believe that a loaded gun that is kept in the home for protection increases the level of safety of your family members?

YES NO UNSURE
4) Are there children who come home from school to a dwelling that has an unsecured gun and no parent or adult?

YES NO UNSURE
5) In your home, is there an unsecured gun and someone who uses alcohol or illegal drugs?

YES NO UNSURE
6) In your home, is there an unsecured gun and someone who has shown violent behavior?

YES NO UNSURE
7) In your home, is there an unsecured gun and someone who suffers from or who has suffered from depression or other mental illness?

YES NO UNSURE
8) Does any member of your household carry a gun outside the home for any reason either with a gun permit or without a gun permit ?

YES NO UNSURE

If you answered “YES” or “UNSURE” to any of these questions, you and others in your home may be at risk. If you answered “NO“ to all of the questions, you and others in your home could still be at risk. Please contact the Marion County Public Health Department Violence Prevention Program at
221-3538 if you would like to learn more about ways to reduce the risk of gun-related injury and death.