NCCAD Customer Feedback Survey

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NCCAD Customer Feedback
Survey

Paperwork Burden Disclosure Notice: Public reporting burden for this data collection is estimated to average 3-5
minutes per response. The burden estimate includes the time reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and submitting this form. This collection of information is
required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid
OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any
suggestion for reducing the burden to: Information Collections Management, Department of Homeland Security,
IP/PSCD, Mail Stop 8540, 245 Murray Lane SW, Washington, DC 20528-8540, ATTN: PRA (1234-xxxx). NOTE: DO NOT
send your completed form to this address.

1. Date

of the Assessment Session *

2. Location

of Assessment (City and State)

3. Assessment

Format

⚪ On-Site
⚪ Webinar

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⚪ Other (Please specify)

4. Select

the partner type that best describes your
organization:

⚪ Law Enforcement
⚪ Fire/Rescue
⚪ Homeland Security
⚪ Other (Please specify)

5. Select

the unit discipline type:

⚪ Bomb Squad
⚪ Dive Team
⚪ Explosives Detection Canine
⚪ SWAT
⚪ Other (Please specify)

6. How

do you plan to use your assessment to support
your mission? (Select all that apply)

⬜

Identify gaps in the unit's capabilities

⬜

Identify equipment needs

⬜

Identify training needs

⬜

Identify planning needs

⬜

Support grant funding request

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⬜

Other (Please specify)

7. How

would you rate this program's relevance to
support your mission? *
Critical

Very
Important

⚪

⚪

8. Rate

Important

Somewhat
Important

Not
Important

⚪

⚪

⚪

your satisfaction of the following:
Very
Somewhat
Satisfied Satisfied

No
Opinion

Somewh
Dissatisfi

Coordination of the
event

⚪

⚪

⚪

⚪

Facilitators

⚪

⚪

⚪

⚪

OBP/NCCAD
Briefing

⚪

⚪

⚪

⚪

Assessment

⚪

⚪

⚪

⚪

Reports

⚪

⚪

⚪

⚪

Facilities/Equipment

⚪

⚪

⚪

⚪





9. Overall,

how satisfied are with the usefulness of this

program?
Very
Satisfied

Somewhat
Satisfied

Satisfied

Dissatisfied

Very
Dissatisfied

⚪

⚪

⚪

⚪

⚪

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10. Based

on my experience, I would recommend the

NCCAD program to colleagues and other relevant
professionals.
Strongly
Agree

Agree

Undecided

Disagree

Strongly
Disagree

⚪

⚪

⚪

⚪

⚪

11. Based

on my participation in the NCCAD program, I
have a better understanding of my organization's ability
to effectively prevent, protect against, respond to, or
mitigate bombing incidents.
Strongly
Agree

Agree

Undecided

Disagree

Strongly
Disagree

⚪

⚪

⚪

⚪

⚪

12. How

could the NCCAD program be improved to
increase it's value to your mission?




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