Form 30835 051221_FEMA_ 30835 051221_FEMA_ 30835 051221_FEMA_Risk MAP Meeting_Public survey_FINAL

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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 - Public					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 - Public				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		Overall - 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		Overall - Confidence Flood Risk
				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		Overall - Confidence Actions take
				2
				3
				4
				5 - Very confident
			How much do you agree/disagree with the statement below? I now better understand my flood and/or other natural hazard risk.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Service - Understand risk
				2
				3
				4
				5 - Strongly agree
			I now know if my flood and/or other natural hazard risk changed.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Service - Know if risk changed
				2
				3
				4
				5 - Strongly agree
			I now know my flood zone.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Service - Know flood zone
				2
				3
				4
				5 - Strongly agree
			I now know what my flood zone means/requires.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Service - Know flood zone meaning
				2
				3
				4
				5 - Strongly agree
			I am now aware of my community’s mitigation efforts.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Service - Aware of prep
				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.
				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 understand the process to resolve concerns with pending flood zone designation for my property.	1 - Strongly disagree			Y	Radio button, scale, no don't know		Understand dispute process
				2
				3
				4
				5 - Strongly agree
			This meeting took place at a time and location that was convenient for me.	1 - Strongly disagree			Y	Radio button, scale, no don't know		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
			What else would you like to share with us to help improve FEMA flood mapping meetings?				N	Text area, no char limit		OE_Improve
			Which of the following best describes you?	Business owner			Y	[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: “Please select all that apply” Checkbox, one-up vertical		Role
				Home owner
				Property owner
				Renter