Test Feedback Form

   

Maryland Inclusive Preparedness Feedback

Instructions

Please mark the appropriate box(es).


1.

How well did the conference meet its objectives?


2.

Which activities were most valuable? (check all that apply)

(Select all that apply.)

Opening remarks

The morning panel

The breakout sessions

The afternoon closing speaker

Other:


3.

Why? (check all that apply)

(Select all that apply.)

Learned things I did not know about what to do to be ready

Gave me a chance to network

Inspired to take what I learned today and act on it

Know what steps must be taken to continue to advance my organization's readiness

Keeps me current with the latest information on emergency preparedness

Other:


4.

Overall, how valuable was this conference? (1=not at all; 10=extremely valuable)


Specifically, how valuable were the following activities? (1=not at all; 10=extremely valuable. Check only those you attended).


5.

Disaster Preparedness Plan Template for Organizations (William Swenson/Chander Jayaraman)

Yes (Skip to Q. 6)

No


6.

If yes, how valuable was this session?


7.

Disaster Preparedness Practice and Exercising (Scott Teper/John Guerre)

Yes (Skip to Q. 8)

No


8.

If yes, how valuable was this session?


9.

Using Volunteers for Organizational Preparedness (Joan Driessen/Debbie Staigerwald/Mickey Gomez)

Yes (Skip to Q. 10)

No


10.

If yes, how valuable was this session?


11.

Baltimore UASI Region Special Needs Preparedness Planning

Yes (Skip to Q. 12)

No


12.

If yes, how valuable was this session?


13.

Mental and Behavioral Issues Related to Preparedness and Response (Laura Copland)

Yes (Skip to Q. 14)

No


14.

If yes, how valuable was this session?


15.

Practical Guidance for Preparing to Stay or Go (Barbara Fay)

Yes (Skip to Q. 16)

No


16.

If yes, how valuable was this session?


17.

Engaging Non-English Speaking Communities in Preparedness Activities (Fannie Norwood/Patricia Hatch/Sara Rivera)

Yes (Skip to Q. 20)

No


18.

If yes, how valuable was this session?


19.

Preparedness and Aging Initiatives (Laura Riley)

Yes (Skip to Q. 20)

No


20.

If yes, how valuable was this session?


21.

What was the single most important thing you learned today?


22.

What, if anything, would you change about today's conference?


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Center for Disability and Special needs Preparedness   
1010 Wisconsin Avenue NW, Suite 340   Washington, DC 20007
Tel: (202) 338-7158 or (202) 338-7153  Fax: (202) 338-7216
www.disabilitypreparedness.org