Employee Emergency Preparedness Survey Form
Please complete the Employee Emergency Preparedness Survey Form to help us assess and improve workplace emergency readiness.
Full Name
*
First Name
Last Name
Department
*
Please Select
Human Resources
Operations
IT
Finance
Sales
Marketing
Other
How confident are you in your ability to respond appropriately during a workplace emergency?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Have you participated in any workplace emergency drills in the past 12 months?
*
Yes
No
Do you know the location of the nearest emergency exits from your workspace?
*
Yes
No
Not sure
How prepared do you feel for the following types of workplace emergencies?
*
Rows
Not prepared
Somewhat prepared
Prepared
Very prepared
Fire
1
2
3
4
Medical Emergency
5
6
7
8
Power Outage
9
10
11
12
Severe Weather
13
14
15
16
Security Threat
17
18
19
20
Have you reviewed the company's emergency procedures manual or guidelines?
*
Yes, thoroughly
Yes, briefly
No
Do you know where to find emergency supplies (first aid kit, fire extinguisher, etc.) in your area?
*
Yes
No
Not sure
How would you rate the effectiveness of the company's emergency communication systems (e.g., alarms, alerts, notifications)?
*
Very poor
1
2
3
4
Excellent
5
1 is Very poor, 5 is Excellent
Please share any suggestions or comments to improve emergency preparedness in the workplace.
Submit Survey
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