Community Resilience Plan Assessment Form
Please provide your assessment and feedback regarding the community resilience plan.
Full Name
First Name
Last Name
Email Address
example@example.com
Community Name
How would you rate the current community resilience plan?
1
2
3
4
5
What are the strengths of the current plan?
What are the weaknesses of the current plan?
Suggestions for improvement
Would you be willing to participate in community resilience activities?
Yes
No
Maybe
Submit
Should be Empty: