Vulnerability to natural disasters is increasing globally 1-3. In parallel, responsibility for natural hazard preparedness has shifted onto communities and individuals 4 .Thus, it is crucial that households increase their preparedness. Yet adoption of household preparedness measures continues to be low, even in high-risk regions 5-8. In addition, there have been few interventions to change hazard preparedness that are evaluated longitudinally using observational measures. Therefore, we conducted a controlled intervention, with a 12-month follow-up, on adults in communities in the USA and Turkey, focused on improving household earthquake and fire preparedness. We show that this fix-it intervention, involving evidence-based, face-to-face workshops, increased multi-hazard preparedness in both cultures longitudinally. Compared to baseline, the primary outcome, overall preparedness, increased significantly in the intervention groups, with Turkish participants improving earthquake preparedness significantly more and US participants fire preparedness significantly more.