2018 LOS ANGELES COUNTY MEDICAL AND HEALTH EXERCISE PARTICIPANT FEEDBACK FORM Please enter your responses in the form field or check box after the appropriate selection. Part I: General Participant Information Date: Name: Agency/ Organization: Position/Title: Years of Experience: Role: Player Facilitator Observer Evaluator Other Full Functional Tabletop What type of exercise: circle one Part II: Exercise Design Feedback Please rate, on a of 1 to 5, your overall assessment of the exercise relative to the statements provided, with 1 indicating strong disagreement and 5 indicating strong agreement. Strongly Strongly Assessment Factor Neutral Disagree Agree Pre-exercise briefings were informative and provided the necessary 1 2 3 4 5 information for this exercise The exercise scenario was plausible and realistic 1 2 3 4 5 Exercise participants included the right people in terms of level and 1 2 3 4 5 mix of disciplines
2018 LOS ANGELES COUNTY MEDICAL AND HEALTH EXERCISE PARTICIPANT FEEDBACK FORM Please enter your responses in the form field or check box after the appropriate selection. Part I: General Participant Information Name: Date: Agency/ Organization: Position/Title: Years of Experience: Role: Player Facilitator Observer Evaluator Other What type of exercise: circle one Full Functional Tabletop Part II: Exercise Design Feedback Please rate, on a of 1 to 5, your overall assessment of the exercise relative to the statements provided, with 1 indicating strong disagreement and 5 indicating strong agreement. Assessment Factor Strongly Disagree Neutral Strongly Agree Pre-exercise briefings were informative and provided the necessary information for this exercise 1 2 3 4 5 The exercise scenario was plausible and realistic 1 2 3 4 5 Exercise participants included the right people in terms of level and mix of disciplines 1 2 3 4 5
1042996_2018-ParticipantFeedbackForm.docx