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A.1 General Information

Interviewee ............................................................................................................................

Date:………………………………………………………………………………………..

Organization: .........................................................................................................................

Department: ...........................................................................................................................

Address: .................................................................................................................................

Phone .....................................................................................................................................

Email:.....................................................................................................................................

Appendix Survey Questionnaire for the Project Develop and Implement Climate Change Adaptation Measures in the Coastal Areas of Vietnam

© The Author(s) 2015 P. Schmidt-Thomé et al., Climate Change Adaptation Measures in Vietnam, SpringerBriefs in Earth Sciences, DOI 10.1007/978-3-319-12346-2

96 Appendix: Survey Questionnaire for the Project Develop and Implement Climate …

A.2 Awareness of Climate Change Impacts

A.2.1 Which Natural Hazards (Disasters) are Caused by Climate Change in Your Areas?

Scoring (if available): 5 = Highly important, need special attention; 4 = impor-tant, need attention; 3 = important; 2 = Yes, not very clear; 1 = Not important in the area.

Natural danger (disaster) Yes No Score

Tornado

Flood

Saline ground water.

Saline surface water.

Saline land

Sea Level Rise

Landslide

Storm surge

Heavy rain

Drought

High temperature

Other (please specify):

97Appendix: Survey Questionnaire for the Project Develop and Implement Climate …

A.2.2 What are the Key Vulnerabilities Caused by Climate Change in Your Area ?

Scoring (if available): 5 = Highly important, need special attention; 4 = impor-tant, need attention; 3 = important; 2 = Yes, not very clear; 1 = Not important in the area.

Society Yes No Score

Houses

Schools, hospitals, fire-fighting stations etc

Health problems (diseases, quantity and quality of drinking water etc)

Information, news, response measures

Vulnerable group such as the elderly, children

Family livelihoodOther (please specify):

Economic Yes No Score

Change in economic structureChange in land use structure (Decrease in land area for agriculture, aquaculture; Increase in land for industrial production, tourism, urban)

Infrastructure: Roads, sluices, electricity cables etc

Other (please specify):

Environment Yes No Score

Shortage of ground water: quantity and quality of water

Shortage of surface water: quantity and quality of water

Saline land

Land erosion

Land deposition

Contamination and pollution due to human's activities

Loss of biodiversity, deteriorated nature

Loss of agriculture land and forest.

LandslideOther (please specify):

98 Appendix: Survey Questionnaire for the Project Develop and Implement Climate …

A.3 Response Measures for Current Climate Change

A.3.1 Response Measures for Current Climate Change ?

Scoring (if available): 5 = Highly important, need special attention; 4 = impor-tant, need attention; 3 = important; 2 = Yes, not very clear; 1 = Not important in the area.

Climate change response measures Yes No Score

Flood or tornado early warning systems at residential areas.

Salinity early warning system

Sea dyke to confront sea level rise

Seashore erosion protectionEnsure the provision of drinking water, or conduct regular suction for salinity confronting (long term adaptation) or due to dangerous

(h di)Educate and raise awareness of policy-makers and stakeholders

Educate and raise awareness of local people

Cooperation between stakeholders of different beneficial groups

Readiness of hospitals, fire-fighting forces etc in dangerous situations

Other (please specify):

99Appendix: Survey Questionnaire for the Project Develop and Implement Climate …

A.3.2 How Does the Land Use Plan Take Climate Change Impacts into Consideration in Your Areas?

Scoring (if available): 5 = Highly important, need special attention; 4 = impor-tant, need attention; 3 = important; 2 = Yes, not very clear; 1 = Not important in the area.

Urbanization Yes No Score

Analysis of water balance

Housing conditions (environment, structure, durability)

Infrastructure Efficiency:

Wastewater treatment

Wastewater management

Preparation for urgent cases

Other (please specify):

Industrialization Yes No Score

Analysis of water balance

Environmental impact assessment

Environment monitoring

Other (please specify):

Tourism Yes No Score

Analysis of water balance

Change in land use, potential conflicts with other economic sectors

Other (please specify):

Agriculture Yes No Score

Social impacts due to changes in economic sector

Change in land use, potential conflicts with other economic sectors (urbanization. tourism)

Salinity => adaptation measures (dykes, early warning system)

Other (please specify):

100 Appendix: Survey Questionnaire for the Project Develop and Implement Climate …

A.4 Recommendations

A.4.1 What are the Main Concerns in the Near Future in Your Areas Regarding Climate Change Impacts?

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Date….. month….year......(signature)