WIC Staff Skills Analysis Survey

1. Please provide the following information

Please provide the following information Name:
Email Address:
Phone Number:

2. Are you a full time or part time employee of the Weber-Morgan heath Department?

Are you a full time or part time employee of the Weber-Morgan heath Department? Full time

Part time

3. Throughout 2008, you have been provided with emergency preparedness information.

	Very helpful	Somewhat helpful	Not helpful
How helpful has the information and handouts provided been in your personal and family preparedness activities?	*Throughout 2008, you have been provided with emergency preparedness information. How helpful has the information and handouts provided been in your personal and family preparedness activities? Very helpful	How helpful has the information and handouts provided been in your personal and family preparedness activities? Somewhat helpful	How helpful has the information and handouts provided been in your personal and family preparedness activities? Not helpful

4. Do you feel that you and your family are prepared to deal with an emergency event such as an earthquake?

Do you feel that you and your family are prepared to deal with an emergency event such as an earthquake? Very prepared

Somewhat prepared

Not prepared at all

5. Your WIC administration has discussed with the Emergency Preparedness Program staff how best to help WIC staff feel better prepared and/or respond appropriately in an emergency.

Read the following option and indicate your interest level.

	Very interested	Somewhat interested	Not at all interested
Between February and November 2009, we are willing to hold 4 1-hour emerency preparedness training sessions modified from information contained within the Community Emergency Response Team (CERT) training. Following completion of the training, you will be asked to participate in a tabletop (TTX) exercise. You may also receive a CERT manual and a backpack containing some emergency supplies. How intersted are you in this training idea for 2009?	*Your WIC administration has discussed with the Emergency Preparedness Program staff how best to help WIC staff feel better prepared and/or respond appropriately in an emergency. Read the following option and indicate your interest level. Between February and November 2009, we are willing to hold 4 1-hour emerency preparedness training sessions modified from information contained within the Community Emergency Response Team (CERT) training. Following completion of the training, you will be asked to participate in a tabletop (TTX) exercise. You may also receive a CERT manual and a backpack containing some emergency supplies. How intersted are you in this training idea for 2009? Very interested	Between February and November 2009, we are willing to hold 4 1-hour emerency preparedness training sessions modified from information contained within the Community Emergency Response Team (CERT) training. Following completion of the training, you will be asked to participate in a tabletop (TTX) exercise. You may also receive a CERT manual and a backpack containing some emergency supplies. How intersted are you in this training idea for 2009? Somewhat interested	Between February and November 2009, we are willing to hold 4 1-hour emerency preparedness training sessions modified from information contained within the Community Emergency Response Team (CERT) training. Following completion of the training, you will be asked to participate in a tabletop (TTX) exercise. You may also receive a CERT manual and a backpack containing some emergency supplies. How intersted are you in this training idea for 2009? Not at all interested

WIC Staff Skills Analysis

1. Demographics/Training Interest