To me, an Altoids kit (I currently use tobacco tins, but am in process of moving to BCB Mini-mess-tins!) are "Better than nothing" kits.
You could even carry a tin with a knife & firelighting kit in it & that would be better than nothing.

Im sure many of us carry most (if not ALL) of the items that youd find in a kit, anyway, so the kit is just an emergency duplication.

My own kit(s) are geared towards staying warm & dry & being found, so, as well as the ubiquitous knife, several methods of firelighting, shelter (space blanket/paracord/bin liner), & signalling (mirror & whistle) feature heavily.

Admittedly, I DO carry a small fishing kit (Ive NEVER, EVER caught a fish, even with a fishing rod!), but I doubt if Id ever be in a survival situation that would need it.
Aluminium foil, & a cpl of stock cubes to make a warming drink would be of far more use in the (more likely in the UK) sceanario of a night in the hills after a fall or injury.

My priorities are PROTECTION, LOCATION, WATER, FOOD.

I usually have three tins packed at any one time, 2 carried on various jaunts & one that I call my "training tin", the trainer is slightly bigger, not as nicely packed as the kit is used regularly to practice firelighting, shelter building etc.