A: Participant Name: ________________________________ Title: _______________________________ Agency/Department: Role: Participant Evaluator Controller ______________________________ □ □ □ Please fill out form at the end of the exercise and return to the facilitator. Your answers are confidential. How much knowledge of your Continuity program and your role during Continuity Plan activation did you have prior to exercise? (circle one) 1 2 3 4 5 None of the Some of the Most of the Nearly all of Not Applicable knowledge knowledge knowledge the knowledge How did the exercise affect your understanding of your Continuity program and your role during Continuity Plan activation? (circle one) 1 2 3 4 5 Very negative Somewhat Somewhat Very positive Not Applicable effect negative effect positive effect effect How would you rate the amount of time allowed for the exercise? (circle one) 1 2 3 4 5 A little less A little more The amount of A lot less time A lot more time time would time was time was just would have was needed have been needed right been better better How well organized was the exercise? (circle one) 1 2 3 4 5 Somewhat Moderately Extremely well Not organized Not Applicable organized well organized organized What is the most significant thing that you learned from the exercise?
A: Participant Name: ________________________________ Title: _______________________________ Agency/Department: ______________________________ Role: □ Participant □ Evaluator □ Controller Please fill out form at the end of the exercise and return to the facilitator. Your answers are confidential. How much knowledge of your Continuity program and your role during Continuity Plan activation did you have prior to exercise? (circle one) 1 2 3 4 5 None of the knowledge Some of the knowledge Most of the knowledge Nearly all of the knowledge Not Applicable How did the exercise affect your understanding of your Continuity program and your role during Continuity Plan activation? (circle one) 1 2 3 4 5 Very negative effect Somewhat negative effect Somewhat positive effect Very positive effect Not Applicable How would you rate the amount of time allowed for the exercise? (circle one) 1 2 3 4 5 A lot more time was needed A little more time was needed The amount of time was just right A little less time would have been better A lot less time would have been better How well organized was the exercise? (circle one) 1 2 3 4 5 Not organized Somewhat organized Moderately well organized Extremely well organized Not Applicable What is the most significant thing that you learned from the exercise?
Continuity_AllHaz_Discussion_Based_Exercise%20Doc_v2.docx