Earlier quoted context omitted.
Yes. I live in Utah and have a heat pump and gas furnace. I am told the heat pump is really efficient at medium-cold temperatures, but not so much on really cold days.
I believe heatpump technology has improved over time. Also, "less efficient but still functional" is an adequate option for really cold days.
On older homes, with much worse insulation, this would immediately be a problem.
Heat pumps are great, but they absolutely need some kind of emergency heat back up.