2017 Statewide Medical and Health Functional Exercise Participant Feedback Form

Part 1: Participant Information

Thank you for your participation in this year's Alameda County Operational Area Statewide Medical and Health Exercise! Your feedback will help us plan for future exercises, identify gaps and areas requiring additional training and planning.

Question Title

* 1. Agency/Facility/Organization Name:

Question Title

* 2. Exercise Role(s):

Controller

Player

Evaluator

Observer

Other (please specify)