Cross-Sector Events Feedback Survey

Critical Infrastructure Stakeholder
Feedback Survey:
Cross-Sector Events Feedback
General Information
Date of activity/event/engagement/product
or tool use

Name of activity/event/engagement/product
or tool use

What classification best describes your organization?
Federal Government
Tribal

Organization’s State/Territory

Organization’s sector

Alabama
Alaska

Chemical
Commercial Facilities

Overall Assessment
1 Have you implemented, or are you planning on implementing, any of the action items from this event, workshop, or
meeting?
Have implemented

Planning to
implement

Not
implemented

2 What aspects of the event, workshop, or meeting were you most satisfied with?

3 What aspects were you least satisfied with?

4 Did our service meet your expectations?
Yes

No

If No, please explain how we could improve our service:

Please indicate the extent to which you agree with the following statements:
5 I found the engagement useful.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Disagree

Strongly Disagree

6 The engagement enhanced my organization’s resiliency.
Strongly Agree

Agree

Neutral

NA

7 Federal and Contract staff were professional and working toward my needs.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

NA

Disagree

Strongly Disagree

NA

Disagree

Strongly Disagree

NA

Disagree

Strongly Disagree

NA

8 I would recommend the program to my partners and other stakeholders.
Strongly Agree

Agree

Neutral

9 I am likely to attend another event sponsored by DHS IP.
Strongly Agree

Agree

Neutral

10 The information provided was current and relevant.
Strongly Agree

Agree

Neutral

11 My organization is likely to incorporate the information provided into future risk mitigation and resilience enhancements.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

NA

12 The information provided will contribute to my organization’s counterterrorism actions, security improvements,
and/or preparedness planning.
Strongly Agree

Agree

Neutral

13 Please provide any additional comments.

OMB Control Number: 1670-0027
Expiration Date: 10/31/2017
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Disagree

Strongly Disagree

NA