This survey of public sector Emergency Managers will provide insight into existing relationships and practices between public safety partners and faith based communities / community based organizations. The survey is 24 questions in length and will take 5 minutes. Thank you for your participation.

* 1. Indicate the type of organization in which you have an emergency management role:

* 2. What is the size of the population you serve?

* 3. Indicate the service in which you work:

* 4. How many years of experience do you have in emergency management?

* 5. Indicate your primary emergency management role:

* 6. How many individuals are employed by your agency in an emergency management role?

* 8. Does your agency currently engage with community based organizations (CBO)?

* 9. How many community based organizations (CBO) do you currently engage with?

* 10. Does your agency currently engage with faith based organizations (FBO)?

* 11. How many faith based organizations (FBOs) do you currently engage with?

* 12. Do you know how many FBO/CBOs are in your service area?

* 13. If yes, what percentage have you provided training to?

* 14. Does your organization conduct predisaster recovery planning with CBOs and FBOs?

* 15. Do your local FBO/CBOs have specific roles and responsibilities identified in your emergency management plan?

* 16. Over the last 12 months how frequently have you engaged with CBOs/FBOs?

* 17. During the last 12 months at what level have you engaged CBOs/FBOs? (check all that apply)

* 18. During the last 12 months have you integrated CBOs/FBOs into your exercises?

* 19. What services do your partner CBOs/FBOs currently provide to your local community on a regular basis that you expect them to continue to provide in a crisis?

* 20. What additional skills and services do you expect your partner CBOs/FBOs to be able to provide the community in a crisis? (Check all that apply)

* 21. Do your partner CBOs/FBOs have the ability to distribute food or other commodities to the community during a small or large-scale incident?

* 22. Can your partner CBOs/FBOs provide shelter space during a small or large-scale incident?

* 23. Have CBOs/FBOs provided support during a real world disaster event within your jurisdiction?

* 24. Are there any additional enabling factors and/or barriers to your organization’s engagement with CBOs/FBOs you would like to share?

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