Building Emergency Response Survey
Help us assess and improve our emergency preparedness by completing this survey.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Your Role or Unit in the Building
*
Please Select
Employee
Visitor
Maintenance Staff
Security Personnel
Resident
Other
Floor or Area Where You Are Usually Located
*
Are you familiar with the building's emergency evacuation procedures?
*
Yes
No
Not Sure
Have you participated in an emergency drill in this building in the past year?
*
Yes
No
If you have experienced an actual emergency in this building, please briefly describe the situation and your response. (If not, you may leave this blank)
Do you have any suggestions for improving emergency response procedures in this building?
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