On-Line Interviews - FEMA Form FF-104-FY-21-198

Dear [First Name Last Name],

FEMA is looking for ways to improve the quality of our services and your opinion is very important to us.

This survey is voluntary, will take 8-10 minutes to complete, and should be completed by the person in the household most familiar with the FEMA application.  

Your answers will not affect the outcome of your application for FEMA assistance.

These questions comply with the Privacy Act of 1974 and have been approved by the Office of Management and Budget under number 1660-0145.

Please click on the start survey button to read the Paperwork Burden Disclosure Notice, Privacy Act Statement, and begin the survey.

Start Survey

Thank you,
Federal Emergency Management Agency

If you experience any technical difficulties while completing the survey, please e-mail FEMA-Program-Survey@fema.dhs.gov include the survey name (National Preparedness Survey) and explain the issue.