EMS Training Program Planning Needs Assessment Survey

	1-Not a priority	2	3	4	5	6	7-Extremely high priority
Pediatric ITLS	Pediatric ITLS 1-Not a priority	Pediatric ITLS 2	Pediatric ITLS 3	Pediatric ITLS 4	Pediatric ITLS 5	Pediatric ITLS 6	Pediatric ITLS 7-Extremely high priority
PEPP	PEPP 1-Not a priority	PEPP 2	PEPP 3	PEPP 4	PEPP 5	PEPP 6	PEPP 7-Extremely high priority
Paramedic Recert	Paramedic Recert 1-Not a priority	Paramedic Recert 2	Paramedic Recert 3	Paramedic Recert 4	Paramedic Recert 5	Paramedic Recert 6	Paramedic Recert 7-Extremely high priority
Haz Mat Awareness	Haz Mat Awareness 1-Not a priority	Haz Mat Awareness 2	Haz Mat Awareness 3	Haz Mat Awareness 4	Haz Mat Awareness 5	Haz Mat Awareness 6	Haz Mat Awareness 7-Extremely high priority
Development Disabilities Life Support (DDLS)	Development Disabilities Life Support (DDLS) 1-Not a priority	Development Disabilities Life Support (DDLS) 2	Development Disabilities Life Support (DDLS) 3	Development Disabilities Life Support (DDLS) 4	Development Disabilities Life Support (DDLS) 5	Development Disabilities Life Support (DDLS) 6	Development Disabilities Life Support (DDLS) 7-Extremely high priority
ITLS & ITLS Recert	ITLS & ITLS Recert 1-Not a priority	ITLS & ITLS Recert 2	ITLS & ITLS Recert 3	ITLS & ITLS Recert 4	ITLS & ITLS Recert 5	ITLS & ITLS Recert 6	ITLS & ITLS Recert 7-Extremely high priority
MEDEVAC Landing Zone	MEDEVAC Landing Zone 1-Not a priority	MEDEVAC Landing Zone 2	MEDEVAC Landing Zone 3	MEDEVAC Landing Zone 4	MEDEVAC Landing Zone 5	MEDEVAC Landing Zone 6	MEDEVAC Landing Zone 7-Extremely high priority
EMT Basic & Recert	EMT Basic & Recert 1-Not a priority	EMT Basic & Recert 2	EMT Basic & Recert 3	EMT Basic & Recert 4	EMT Basic & Recert 5	EMT Basic & Recert 6	EMT Basic & Recert 7-Extremely high priority
MEDIC ASSIST	MEDIC ASSIST 1-Not a priority	MEDIC ASSIST 2	MEDIC ASSIST 3	MEDIC ASSIST 4	MEDIC ASSIST 5	MEDIC ASSIST 6	MEDIC ASSIST 7-Extremely high priority
Mass Casualty	Mass Casualty 1-Not a priority	Mass Casualty 2	Mass Casualty 3	Mass Casualty 4	Mass Casualty 5	Mass Casualty 6	Mass Casualty 7-Extremely high priority
Suicide Clues and Warning Signs	Suicide Clues and Warning Signs 1-Not a priority	Suicide Clues and Warning Signs 2	Suicide Clues and Warning Signs 3	Suicide Clues and Warning Signs 4	Suicide Clues and Warning Signs 5	Suicide Clues and Warning Signs 6	Suicide Clues and Warning Signs 7-Extremely high priority
Run Sheet Documentation	Run Sheet Documentation 1-Not a priority	Run Sheet Documentation 2	Run Sheet Documentation 3	Run Sheet Documentation 4	Run Sheet Documentation 5	Run Sheet Documentation 6	Run Sheet Documentation 7-Extremely high priority
Infection Control	Infection Control 1-Not a priority	Infection Control 2	Infection Control 3	Infection Control 4	Infection Control 5	Infection Control 6	Infection Control 7-Extremely high priority
Start Triage (MCI I & II)	Start Triage (MCI I & II) 1-Not a priority	Start Triage (MCI I & II) 2	Start Triage (MCI I & II) 3	Start Triage (MCI I & II) 4	Start Triage (MCI I & II) 5	Start Triage (MCI I & II) 6	Start Triage (MCI I & II) 7-Extremely high priority
Patient Handling	Patient Handling 1-Not a priority	Patient Handling 2	Patient Handling 3	Patient Handling 4	Patient Handling 5	Patient Handling 6	Patient Handling 7-Extremely high priority
Advanced Airway	Advanced Airway 1-Not a priority	Advanced Airway 2	Advanced Airway 3	Advanced Airway 4	Advanced Airway 5	Advanced Airway 6	Advanced Airway 7-Extremely high priority
EKG	EKG 1-Not a priority	EKG 2	EKG 3	EKG 4	EKG 5	EKG 6	EKG 7-Extremely high priority
Tactical Combat Casualty Care	Tactical Combat Casualty Care 1-Not a priority	Tactical Combat Casualty Care 2	Tactical Combat Casualty Care 3	Tactical Combat Casualty Care 4	Tactical Combat Casualty Care 5	Tactical Combat Casualty Care 6	Tactical Combat Casualty Care 7-Extremely high priority
EVOC & EVOC Recert	EVOC & EVOC Recert 1-Not a priority	EVOC & EVOC Recert 2	EVOC & EVOC Recert 3	EVOC & EVOC Recert 4	EVOC & EVOC Recert 5	EVOC & EVOC Recert 6	EVOC & EVOC Recert 7-Extremely high priority

1-Not a priority

7-Extremely high priority

Pediatric ITLS

Pediatric ITLS 1-Not a priority

Pediatric ITLS 2

Pediatric ITLS 3

Pediatric ITLS 4

Pediatric ITLS 5

Pediatric ITLS 6

Pediatric ITLS 7-Extremely high priority

PEPP

PEPP 1-Not a priority

PEPP 2

PEPP 3

PEPP 4

PEPP 5

PEPP 6

PEPP 7-Extremely high priority

Paramedic Recert

Paramedic Recert 1-Not a priority

Paramedic Recert 2

Paramedic Recert 3

Paramedic Recert 4

Paramedic Recert 5

Paramedic Recert 6

Paramedic Recert 7-Extremely high priority

Haz Mat Awareness

Haz Mat Awareness 1-Not a priority

Haz Mat Awareness 2

Haz Mat Awareness 3

Haz Mat Awareness 4

Haz Mat Awareness 5

Haz Mat Awareness 6

Haz Mat Awareness 7-Extremely high priority

Development Disabilities Life Support (DDLS)

Development Disabilities Life Support (DDLS) 1-Not a priority

Development Disabilities Life Support (DDLS) 2

Development Disabilities Life Support (DDLS) 3

Development Disabilities Life Support (DDLS) 4

Development Disabilities Life Support (DDLS) 5

Development Disabilities Life Support (DDLS) 6

Development Disabilities Life Support (DDLS) 7-Extremely high priority

ITLS & ITLS Recert

ITLS & ITLS Recert 1-Not a priority

ITLS & ITLS Recert 2

ITLS & ITLS Recert 3

ITLS & ITLS Recert 4

ITLS & ITLS Recert 5

ITLS & ITLS Recert 6

ITLS & ITLS Recert 7-Extremely high priority

MEDEVAC Landing Zone

MEDEVAC Landing Zone 1-Not a priority

MEDEVAC Landing Zone 2

MEDEVAC Landing Zone 3

MEDEVAC Landing Zone 4

MEDEVAC Landing Zone 5

MEDEVAC Landing Zone 6

MEDEVAC Landing Zone 7-Extremely high priority

EMT Basic & Recert

EMT Basic & Recert 1-Not a priority

EMT Basic & Recert 2

EMT Basic & Recert 3

EMT Basic & Recert 4

EMT Basic & Recert 5

EMT Basic & Recert 6

EMT Basic & Recert 7-Extremely high priority

MEDIC ASSIST

MEDIC ASSIST 1-Not a priority

MEDIC ASSIST 2

MEDIC ASSIST 3

MEDIC ASSIST 4

MEDIC ASSIST 5

MEDIC ASSIST 6

MEDIC ASSIST 7-Extremely high priority

Mass Casualty

Mass Casualty 1-Not a priority

Mass Casualty 2

Mass Casualty 3

Mass Casualty 4

Mass Casualty 5

Mass Casualty 6

Mass Casualty 7-Extremely high priority

Suicide Clues and Warning Signs

Suicide Clues and Warning Signs 1-Not a priority

Suicide Clues and Warning Signs 2

Suicide Clues and Warning Signs 3

Suicide Clues and Warning Signs 4

Suicide Clues and Warning Signs 5

Suicide Clues and Warning Signs 6

Suicide Clues and Warning Signs 7-Extremely high priority

Run Sheet Documentation

Run Sheet Documentation 1-Not a priority

Run Sheet Documentation 2

Run Sheet Documentation 3

Run Sheet Documentation 4

Run Sheet Documentation 5

Run Sheet Documentation 6

Run Sheet Documentation 7-Extremely high priority

Infection Control

Infection Control 1-Not a priority

Infection Control 2

Infection Control 3

Infection Control 4

Infection Control 5

Infection Control 6

Infection Control 7-Extremely high priority

Start Triage (MCI I & II)

Start Triage (MCI I & II) 1-Not a priority

Start Triage (MCI I & II) 2

Start Triage (MCI I & II) 3

Start Triage (MCI I & II) 4

Start Triage (MCI I & II) 5

Start Triage (MCI I & II) 6

Start Triage (MCI I & II) 7-Extremely high priority

Patient Handling

Patient Handling 1-Not a priority

Patient Handling 2

Patient Handling 3

Patient Handling 4

Patient Handling 5

Patient Handling 6

Patient Handling 7-Extremely high priority

Advanced Airway

Advanced Airway 1-Not a priority

Advanced Airway 2

Advanced Airway 3

Advanced Airway 4

Advanced Airway 5

Advanced Airway 6

Advanced Airway 7-Extremely high priority

EKG

EKG 1-Not a priority

EKG 2

EKG 3

EKG 4

EKG 5

EKG 6

EKG 7-Extremely high priority

Tactical Combat Casualty Care

Tactical Combat Casualty Care 1-Not a priority

Tactical Combat Casualty Care 2

Tactical Combat Casualty Care 3

Tactical Combat Casualty Care 4

Tactical Combat Casualty Care 5

Tactical Combat Casualty Care 6

Tactical Combat Casualty Care 7-Extremely high priority

EVOC & EVOC Recert

EVOC & EVOC Recert 1-Not a priority

EVOC & EVOC Recert 2

EVOC & EVOC Recert 3

EVOC & EVOC Recert 4

EVOC & EVOC Recert 5

EVOC & EVOC Recert 6

EVOC & EVOC Recert 7-Extremely high priority

Question Title

* 2. In what state or U.S. territory do you live?

Question Title

* 3. How likely is it that you would recommend one of the above trainings to a friend or colleague?

Not at all likely

Extremely likely

Question Title

* 4. What changes would most improve competing services currently available from other training providers?

Question Title

* 5. We would love to connect with you (if you have any EMS Training questions)!

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Why not add your email to our EMS Training Announcement email list? Click Here. You can always remove yourself at any time.

Question Title

* 1. On a scale from 1 (not a priority) to 7 (extremely high priority), please rate the priority of at least four (4) of the listed classes/topics. By priority, we mean how quickly do you need to find a class for this topic/class.

Question Title

* 2. In what state or U.S. territory do you live?

Question Title

* 3. How likely is it that you would recommend one of the above trainings to a friend or colleague?

Question Title

* 4. What changes would most improve competing services currently available from other training providers?

Question Title

* 5. We would love to connect with you (if you have any EMS Training questions)!