Step 1 of 8 12% Section BreakParticipant InformationHealth Center / Organization Name(Required)Age Range?(Required)18-3536-6465+Prefer not to saySex(Required)MaleFemalePrefer not to say Overall Day 1 RatingHow would you rate Day 2 of the Emergency Management Summit?(Required) 1 - Poor 2 3 4 5 - Excellent Please rate each item on a Scale of 1 (Poor) to 5 (Excellent)Keynote: Stronger Together – Partnerships & Leadership in Times of CrisisPlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)Keynote: Relevance of the Topic:(Required) 1 - Poor 2 3 4 5 - Excellent Keynote: Quality of the Content:(Required) 1 - Poor 2 3 4 5 - Excellent Keynote: Clarity & Engagement of the Speaker(s):(Required) 1 - Poor 2 3 4 5 - Excellent Keynote: Knowledge of the Speaker(s):(Required) 1 - Poor 2 3 4 5 - Excellent General Session - NGO Roundtable: Supporting Community Health CentersPlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)General Session: Relevance of the Topic:(Required) 1 - Poor 2 3 4 5 - Excellent General Session: Quality of the Content:(Required) 1 - Poor 2 3 4 5 - Excellent General Session: Clarity & Engagement of the Speaker(s):(Required) 1 - Poor 2 3 4 5 - Excellent General Session: Knowledge of the Speaker(s):(Required) 1 - Poor 2 3 4 5 - Excellent AM Session - From Inventory to Impact: Integrating Asset Management Tools, Preventative Maintenance, and Response Strategies for Mission-Critical SystemsPlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)Inventory to Impact: Relevance of the Topic(Required) 1 - Poor 2 3 4 5 - Excellent Inventory to Impact: Quality of the Content(Required) 1 - Poor 2 3 4 5 - Excellent Inventory to Impact: Clarity & Engagement of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent Inventory to Impact: Knowledge of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent PM Session - Funding Resilience: Mitigation and Capital Investment StrategiesPlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)Funding Resilience: Relevance of the Topic(Required) 1 - Poor 2 3 4 5 - Excellent Funding Resilience: Quality of the Content(Required) 1 - Poor 2 3 4 5 - Excellent Funding Resilience: Clarity & Engagement of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent Funding Resilience: Knowledge of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent PM Session - From Leaks to Floods: Comprehensive Water Damage PreparednessPlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)From Leaks to Floods: Relevance of the Topic(Required) 1 - Poor 2 3 4 5 - Excellent From Leaks to Floods: Quality of the Content(Required) 1 - Poor 2 3 4 5 - Excellent From Leaks to Floods: Clarity & Engagement of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent From Leaks to Floods: Knowledge of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent Workshop - Leading Through Disruption: Strengthening Health Center ResponsePlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)Workshop: Relevance of the Topic(Required) 1 - Poor 2 3 4 5 - Excellent Workshop: Quality of the Content(Required) 1 - Poor 2 3 4 5 - Excellent Workshop: Clarity & Engagement of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent Workshop: Knowledge of the Speaker(s)(Required) 1 - Poor 2 3 4 5 - Excellent What did you like most about Day 2?(Required)What would you change about Day 2?(Required)General Summit FeedbackPlease rate each item on a Scale of 1 (Poor) to 5 (Excellent)Date and Time(Required) 1 - Poor 2 3 4 5 - Excellent Venue(Required) 1 - Poor 2 3 4 5 - Excellent Speakers(Required) 1 - Poor 2 3 4 5 - Excellent Quality & Number of Panels/Workshops(Required) 1 - Poor 2 3 4 5 - Excellent Networking Opportunities(Required) 1 - Poor 2 3 4 5 - Excellent Food & Beverage(Required) 1 - Poor 2 3 4 5 - Excellent Exhibitors(Required) 1 - Poor 2 3 4 5 - Excellent What changes do you hope to implement in your practice as a result of the EM Summit?(Required)Are there any topics that you would like to suggest for future EM Summits?(Required)Would you recommend the EM Summit to colleagues?(Required) Yes No Are you likely to participate in future EM Summits?(Required) Yes No
