You are on page 1of 4

Q3NSED2023

Participant Feedback Form

PARTICIPANT FEEDBACK FORM


Thank you for participating in this exercise. Your observations and comments are
greatly appreciated as they will provide valuable inputsfor us to enhance our
exercises and strengthen our disaster preparedness.Your feedback will be treated in
a sensitive manner and all personal information will remain confidential. Please keep
your comments concise, specific, and constructive.

PART I: PARTICIPANT INFORMATION


Please enter your responses in the box below.
Name of Participant City Health Office and Corazon C. Aquino Hospital
Agency/Organization City Health Office ( Health Emergency Response Team) ,
Sanitation ( WASH and Management of the Dead) , Corazon
C. Aquino H.E.R.T)
Position / Designation Triage, WASH and Management of the Dead Cluster
Years in Current
Position/ Designation
Location during Exercise Morgue . Triage , Evacuation Area, Standby Medical Team

What is your role in this exercise? Please shade.


o Player
o Facilitator/Controller
o Simulator / Actor/ Simulation Cell
o Evaluator
o Support Staff
o Others (please specify)_Standby Medic___

How many exercises have you previously participated in? Please shade.
o 0 (first time to participate in an exercise)
o 1 to 5 exercises
o 6 to 10 exercises
o 11 to 15 exercises
o More than 15 exercises

1
Q3NSED2023
Participant Feedback Form

PART II: EXERCISE ASSESSMENT


Provide your assessment of the exercise by checking () on the appropriate box.

Strongly Strongly
Particulars Disagree Neutral Agree
Disagree Agree

Pre-exercise briefings and


administrative announcements 
were informative and sufficient.
Mechanics and instructions were

clearly relayed.
All scenarios were plausible and

realistic.
The participants included the right
people in terms of representation 
and expertise.
All participants were actively

involved in the exercise.
The exercise was appropriate for

my level of expertise.
The exercise increased my
understanding of relevant 
concepts.
The exercise provided the
opportunity to address significant

and relevant problems and
concerns.
There was appropriate and
sufficient administrative and 
logistical support for this exercise.
There were sufficient teams who
managed the conduct of this 
exercise.
After this exercise, I am better
prepared to perform my 
mandated functions.

2
Q3NSED2023
Participant Feedback Form

PART III: PARTICIPANT FEEDBACK


What are the strengths that you observed for this exercise (or what do you like the
MOST about this exercise)?

The exercise allowed us to test our existing plan and resources in times of disaster .
It help us determine the resources that we need to obtain and as well as skills that
need to be enhanced as part of preparedness of incoming disaster.

What are the areas for improvement for this exercise (or what do you like the LEAST
about this exercise)?

Improve means of communication and transportation and food resources. Training


specific equipment are limited.

What specific training courses helped you (or could have helped you) prepare for this
exercise? Please provide specific course names or titles if applicable. Indicate
whether the training course was completed prior to the exercise by circling “Y” for
“YES” and “N” for “NO”).

Completed Prior to
Training Course
Exercise (Y/N)?

Incident Command System Y

Basic Life Support Y

Standard First Aid Y

Hero Y

Mass Casualty Management Y

What exercise materials and resources do you find as the most useful or significant
for your participation?

Basic Life Support and Mass Casualty Management

What are your recommendations for the improvement of this exercise?

Not all participating offices had their own vehicle that can be utilized in times of
disaster, some needs to borrow vehicle from different Department. In addition the

3
Q3NSED2023
Participant Feedback Form

Staging area was covered with different vehicle , which contributed why certain
teams bypassed the staging area.

You might also like