Form 30835 051221_FEMA_ 30835 051221_FEMA_ 30835 051221_FEMA_Risk MAP Meeting_Community Official su

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Overview

Welcome and Thank You Text
Model Questions
Custom Questions

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Sheet 1: Welcome and Thank You Text

	The text you see here will appear at the top and bottom of your survey, examples below.
	Default text is included and you may modify this text as needed.
	Welcome and Thank You Text
		Welcome Text		Welcome Text - Tablet / Phone
		Thank you for participating in a FEMA Flood Risk meeting. We invite you to take part in a brief survey to let us know what we're doing well and where we can improve. Please take a few minutes to share your opinions, which are essential in helping us provide the best meeting experience possible.		Thank you for participating in a FEMA Flood Risk meeting. We invite you to participate in a brief survey to let us know how we can improve your experience. Please take a minute to share your opinions.
		Thank You Text		Thank You Text - Tablet / Phone
		Thank you for taking our survey - and for helping us serve you better. Please note you will not receive a response from us based on your survey comments.		Thank you for taking our survey - and for helping us serve you better. We appreciate your input!
		Example Desktop		Example Mobile

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Sheet 2: Model Questions

Model Name		FEMA Flood Risk Meeting - Community Official					Red & Strike-Through: Delete
Model ID							Underlined & Italicized: Re-order
Partitioned		No					Pink: Addition
Date
Model Version		NA					Blue: Reword
	Label	Element Questions		Label	Satisfaction Questions		Label	Future Behaviors

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Sheet 3: Custom Questions

Model Name			FEMA Flood Risk Meeting - Community Official				Red & Strike-Through: Delete
Model ID			0				Underlined & Italicized: Re-order
Partitioned			No				Pink: Addition
Date							Blue: Reword
QID	AP Question Tag	Skip From	Question Text	Answer Choices	Skip To	AP Answer Tag	Required Y/N	Type	Special Instructions	CQ Label
			How satisfied are you with the way the information was presented today?	1 - Not at all satisfied			Y	Radio button, scale, no don't know		Satisfaction
				2
				3
				4
				5 - Very satisfied
			How confident are you that today’s meeting increased your understanding of flood risk?	1 - Not at all confident			Y	Radio button, scale, no don't know		Confidence flood risk understanding
				2
				3
				4
				5 - Very confident
			How confident are you that today’s meeting increased your understanding of actions you can take to reduce your flood risk?	1 - Not at all confident			Y	Radio button, scale, no don't know		Confidence actions to take
				2
				3
				4
				5 - Very confident
			How confident are you in the accuracy of the data shared today?	1 - Not at all confident			Y	Radio button, scale, no don't know		Confidence accuracy of data
				2
				3
				4
				5 - Very confident
			How much do you agree/disagree with the statement below? I feel more prepared to inform my community about our flood and/or natural hazard risk.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Prepared to inform
				2
				3
				4
				5 - Strongly agree
			Please indicate which, if any, of the following actions you plan to take after the meeting? Select all that apply	Request or seek out additional information on natural hazard identification, mitigation, emergency management, etc.			N	Checkbox, one-up vertical		Future actions
				Encourage others to purchase flood insurance.
				Review materials provided during this meeting.
				Consider getting flood insurance.
				Contribute additional data (e.g., land use plans, wastewater treatment plans, etc.) about my community.
				Invite applicable stakeholders to participate in the natural hazard identification and mitigation process.
				Use products that provide natural hazard identification/risk information for local land use development and/or permitting.
				Communicate changes in flood or other natural hazard risk to the public and strategic stakeholders.
				Participate in the hazard mitigation plan or plan update.
				Collect comments/feedback from community stakeholders on materials provided at/in conjunction with meetings
				Draft or revise my community’s natural hazard outreach plan (i.e., audiences, messaging, methods).
				None of the above
				Other (please specify)
			How much do you agree/disagree with the statements below? The FEMA flood mapping process is a collaborative effort between FEMA and my community.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Mapping was collaborative
				2
				3
				4
				5 - Strongly agree
			I was kept aware of my community’s progress and next steps.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Aware of progress
				2
				3
				4
				5 - Strongly agree
			FEMA communicated openly using terminology I understand.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Communication clear
				2
				3
				4
				5 - Strongly agree
			I understand what the information shared today means for my jurisdiction.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Understand implications
				2
				3
				4
				5 - Strongly agree
			This meeting took place at a time and location that was convenient for my jurisdiction.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Time/place convenient
				2
				3
				4
				5 - Strongly agree
			How much do you agree/disagree with the statements below? I now know how to communicate with my FEMA flood mapping point of contact (i.e., the person you would contact if you had a question).	1 - Strongly disagree			Y	Radio button, scale, no don't know		Know how to contact
				2
				3
				4
				5 - Strongly agree
			My FEMA flood mapping partners empower me and my community to prevent and bounce back from a flood and/or other natural hazard.	1 - Strongly disagree			Y	Radio button, scale, no don't know		FEMA empowers
				2
				3
				4
				5 - Strongly agree
			My knowledge about my community’s natural hazard risk is important to FEMA.	1 - Strongly disagree			Y	Radio button, scale, no don't know		I matter to FEMA
				2
				3
				4
				5 - Strongly agree
			What else can FEMA do to better support your community during the FEMA flood mapping process?				N	Text area, no char limit		OE_Improve
			How many FEMA flood mapping meetings have you attended (including this one)?	1			Y	Drop down, select one		How many meetings
				2
				3
				More than 3