Product or Tool Feedback Survey

Critical Infrastructure Stakeholder
Feedback Survey:
Product or Tool 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 Please indicate your level of satisfaction with this product or tool.
Very Satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

2 The information provided through this activity, event, or product was current and relevant.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

NA

Neutral

Disagree

Strongly Disagree

NA

Disagree

Strongly Disagree

NA

3 This product or tool was easy to use.
Strongly Agree

Agree

4 The information provided was current and relevant.
Strongly Agree

Agree

Neutral

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

Agree

Neutral

Disagree

Strongly Disagree

NA

6 This tool or product will contribute to my organization’s counterterrorism actions, security improvements, and/or
preparedness planning.
Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

NA

7 If you answered Disagree or Dissatisfied to any of the above questions, please indicate the reason for your
disagreement or dissatisfaction.

8 Please provide any recommendations that you may have on how future products of this type could be improved to
enhance their quality, relevance, and ease of access or use.

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