The Connection Community Emergency Response Team Survey

We are attempting to gather data about community preparedness programs in this country and around the world. Please take a moment to fill out the following survey to assist us in our efforts. Than you for supporting community disaster preparedness efforts.

Tell us how to get in touch with you:

Name     	
E-mail     	
Telephone      	
Fax    		
Organization   	
Address      	
         	
State     	
Zip Code   	
Country      	
URL      	 

2. Do you currently conduct disaster response training in your community?

Yes       No
 
If no, please skip to question 12

3. What year did you start your training program?

Other:

4. To date, how many people have you trained?

Other:

5. Who is the lead agency in your jurisdiction for operating the training?

Other:

6. Do you have a dedicated staff to oversee and manage the program?

Yes       No

7. Do you have full-time or part-time instructors to teach the program?

Full time       Part time

8. Do you currently use the FEMA/EMI "Participant Handbook" in your classes?

Yes       No

9. Do you use your own handbook for your classes?

Yes       No

10. Has anyone in your program been to the EMI Train-The-Trainer program?

Yes       No

11. Do you have a budget for your program?

Yes       No
 

12. Do you plan to start a community disaster response training in your area?

Yes       No

For any other information you would like to provide, and for comments, please use the space provided below:


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Copyright © 1997 North American Emergency Management. All rights reserved.
Revised: December 01, 2003.