Emergency Service Symbols Assessment Form
Assess symbol recognition, interpretation, visibility, and clarity.
Assessor name
*
First Name
Last Name
Assessor role or affiliation
*
Assessment date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessment context
*
Please Select
Emergency vehicle
Emergency facility or signage
Emergency equipment
Public information or communications
Other
Symbol name or identifier
*
Intended meaning of the symbol
*
Rate the symbol on each criterion
*
Rows
Rating
Symbol recognition
1 — Very poor
2 — Poor
3 — Fair
4 — Good
5 — Excellent
Unable to assess
Interpretation accuracy
1 — Very poor
2 — Poor
3 — Fair
4 — Good
5 — Excellent
Unable to assess
Visibility/readability
1 — Very poor
2 — Poor
3 — Fair
4 — Good
5 — Excellent
Unable to assess
Appropriateness across contexts
1 — Very poor
2 — Poor
3 — Fair
4 — Good
5 — Excellent
Unable to assess
Overall clarity (1 = Not at all clear, 5 = Extremely clear)
*
Not at all clear
1
2
3
4
Extremely clear
5
1 is Not at all clear, 5 is Extremely clear
Confidence in your interpretation (1 = Not at all confident, 5 = Extremely confident)
*
Not at all confident
1
2
3
4
Extremely confident
5
1 is Not at all confident, 5 is Extremely confident
What improvements would make this symbol clearer or more effective?
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