At a glance
Use this environmental health assessment form to rapidly assess shelter conditions during emergencies and disasters and document needs in shelters. The form can be easily modified to meet local needs.
About the shelter assessment form
The environmental health assessment for disaster shelters form covers 10 general areas of environmental health. These areas range from basic food safety and water quality to pet (companion animal) wellness.
Contact cdcshelterform@cdc.gov for an Epi Info or Survey123 version of the form.
Content Source
National Center for Environmental Health
About This Page
Published: September 6, 2024
Updated: August 28, 2024
This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.
Reviewed: August 26, 2026
The information on this page was last reviewed by subject matter experts to ensure accuracy.