Public Health Response Simulation Evaluation
Please complete this form to provide feedback on the recent public health response simulation. Your insights help us improve future preparedness and response efforts.
Full Name
*
First Name
Last Name
Role/Title
*
Organization/Agency
*
Date of Simulation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Simulation
*
Please Select
Tabletop Exercise
Functional Exercise
Full-Scale Exercise
Drill
Other
How would you rate the overall effectiveness of the response during the simulation?
*
1
2
3
4
5
Were the resources (equipment, personnel, information) adequate to meet the demands of the simulation?
*
Yes
No
Partially
How effective was the communication among teams/agencies during the simulation?
*
Not effective
1
2
3
4
Highly effective
5
1 is Not effective, 5 is Highly effective
Additional comments or suggestions to improve future simulations.
Submit Evaluation
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