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E2A2 Post-Exercise Survey

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Division of Exercises, Evaluations, and After Actions (EEAA) Post-Exercise Survey

Thank you for supporting the HHS and ASPR missions.

If you have recently attended an exercise led by a federal, state, or local organization, please help us better understand the exercise outcomes by completing the Post-Exercise Survey below.

This survey will time out in 60 minutes.

Exercise Details

Use the dropdown field below to select your exercise. If your exercise is not listed, please continue to Exercise Name

Note: By selecting an exercise from the drop-down, data fields will pre-populate with information submitted by other participants from that exercise. Please be sure to confirm the pre-populated information is accurate. If it is not, please edit those fields accordingly in your entry.

Exercise Name *

Participant First Name *

Participant Last Name *

Email Address
*

Start Date *

End Date *

Exercise Location (State / Territory)
*

Location (City) *

Excercise Type *

Discussion Sub-Type

Operations Sub-Type

Exercise Scenario *

Scenario Natural

Scenario Technological

Scenario Human Caused

Scenario NSSE

Scenario Other

Is this exercise a part of a series?
*

Yes

No

Lead Organization(s) *

HHS	State
DHS	Local
DoD	Tribal
VA	Other
Private

Please specify HHS (e.g., ASPR, CDC, etc.)

Please specify DHS (e.g., FEMA)

Please specify DOD (e.g., Army)

Please specify VA (e.g., VHA)

Please specify State / Territory

Lead Organization(s) Other

Participant Role in Exercise *

Exercise Objectives

What were the stated exercise objectives and how were they performed?

Exercise objectives are aligned to a common set of capabilities. Exercise objectives are decided upon during the exercise design phase. An exercise objective must be SMART (Specific, Measurable, Achievable,Relevant, and Time-bound). For example:

“Demonstrate the ability of Central City staff to receive, develop, and disseminate a public alert utilizing Central City’s notification system regarding a HAZMAT spill within 15 minutes of initial notification, in accordance with the Communications Annex in the Emergency Operations Plan.” –HSEEP 2020 Doctrine (pg. 3-12)

Please list all exercise objectives and rate how well the objective was achieved:

Strength - performed without challenges during the exercise
Needs Some Improvement - performed with minor challenges during the exercise

Needs Significant Improvement - performed with major challenges or was unable to be performed during the exercise

Strength

Needs Some Improvement

Needs Significant Improvement

Strength

Needs Some Improvement

Needs Significant Improvement

Add a row for each objective selected

How well was each capability performed during the exercise?

Please review the Public Health and Medical capabilities below. For your exercise, please rate how well each capability was performed using to the scale described below:

Strength - performed without challenges during the exercise
Needs Some Improvement - performed with minor challenges during the exercise

Needs Significant Improvement - performed with major challenges or was unable to be performed during the exercise
Not Exercised (N/E)- capability not tested during the exercise

Planning *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Public Information and Warning *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Operational Coordination *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Assessment of Public Health /Medical Needs *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Health Surveillance *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Medical Care Personnel *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Health / Medical /Veterinary Equipment and Supplies *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Patient Evacuation *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Patient Care *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Safety and Security of Drugs, Biologics, and Medical Devices *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Blood and Blood Products *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Food Safety and Security *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Agriculture Safety and Security *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

All-Hazard Public Health and Medical Consultation, TA, and Support *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Behavioral Health Care *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Public Health and Medical Information *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Vector Control *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Potable Water / Wastewater and Solid Waste Disposal *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Mass Fatality Management, Victim ID, and Decontaminating Remains *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

Veterinary Medical Support *

Strength

Needs Some Improvement

Needs Significant Improvement

N/E

What was the purpose of the exercise?

Was the purpose of the exercise met?

Yes

Mostly Yes

Mostly No

No

Did the participants include the right mix of people in terms of level and mix of disciplines?

Yes

Mostly Yes

Mostly No

No

What type of people in terms of level and mix of disciplines were missing?

Did HHS have the right people present to effectively support the exercise?
*

Yes

Mostly Yes

Mostly No

No

N/A

Who from HHS was missing?

Was the participant prepared to play his or her role in the exercise?

To help EEAA support exercise preparation, please report how well the participant was prepared (e.g., had access to the necessary resources, had the appropriate training, etc.) to participate in the exercise.

*

Yes

Mostly Yes

Mostly No

No

What preparation did the participant need that they did not receive?

Some examples could include: Information technology (e.g., modeling and simulation capabilities); Exercise tools and resources (e.g., document templates, etc.); Materials from previous exercises; Training courses; Mutual aid agreements, Memoranda of Understanding, and Memoranda of Agreement; Technical assistance

What plans or guidance documents were referenced or used during the exercise and what is the year they were last updated? (e.g., SoPs, CONOPs, etc.)
*

City, State, and/or Regional Plans

National Plans

Other

N/A

Referenced Documents City, State, and/or Regional

Referenced Documents National

Referenced Documents Other

Did you identify a need to update a preparedness plan / response plan during the exercise?
*

Yes

No

Are the plans that were referenced / used in line with other national plans?

Yes

No

Which HHS response capabilities were committed during the exercise?
*

Disaster Leadership Group (DLG)	Federal Med Stations
HPP FPO	Incident Management Team (IMT)
Incident Support Team (IST)	NDMS
Public Health Service	Regional Emergency Coordinators (RECs)
SOC	Strategic National Stockpile (SNS)
TRACIE	Other
N/A

HHS Capabilities Committed Other

Do you believe there were inconsistencies in response points (e.g., decisions made and information shared) that were made?

*

Yes

No

Are you willing to have a discussion with leadership about the inconsistencies you have noticed?

Yes

No

OPTIONAL: If you believe that there were inconsistencies in response points and would like to provide feedback, please answer the question below:

What decisions did the participant make or weigh-in on? What was the decision made and/or what was the guidance given?

In an effort to standardize guidance and decisions provided during exercises, we would like to know any questions you were asked, decisions you participated in, and what the answer or decision was that you relayed.

Scenario Location Region

Please select the region(s) covered in the scenario

*

Region I: CT, ME, MA, NH, RI, VT

Region II: NJ, NY, PR, VI

Region III: DE, DC, MD, PA, VA, WV

Region IV: AL, FL, GA, KY, MS, NC, SC, TN

Region V: IL, IN, MI, MN, OH, WI

Region VI: AR, LA, NM, OK, TX

Region VII: IA, KS, MO, NE

Region VIII: CO, MT, ND, SD, UT, WY

Region IX: AZ, CA, HI, NV, AS, MP, FM, GU, MH, PW

Region X: AK, ID, OR, WA

National

Other

Scenario Location (City and/or State/Territory)
*

Scenario Physical Location

Please specify the physical location from which the scenario was conducted (e.g., Hospital, Emergency Operations Center, etc.), not where the exercise took place.

*

Federal Organization(s) Represented in the Exercise
*

HHS	DoT
DHS	VA
DoD	Other
DoJ	N/A
DoS

Federal Organization(s) Represented Other

State Organization(s) Represented in the Exercise
*

Public Health Department	Health Care Entity (e.g., Hospital)
Emergency Management	Other
HCC's	N/A

State Organization(s) Represented Other

Local Organization(s) Represented in the Exercise
*

Public Health Department	Office of the Mayor
Emergency Management	Other
HCC's	N/A
Health Care Entity (e.g., Hospital)

Local Organization(s) Represented Other

Tribal Organization(s) Represented in the Exercise

Other Organization(s) Represented *

Associations

Nonprofits

Other

N/A

Other Organizations Represented in the Exercise - Other (Please Specify)

Number of Participants *

Participant HHS Division
*

Participant HHS Division Other

Participant Role
*

Was it the intent of the exercise to meet a grant requirement?
*

Yes

No

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