After completing the survey, please choose the SUBMIT button at the bottom of the page to send. If you want to clear the form, choose RESET.

1. Is the document easy to follow and use? Yes No

If not, do you have any suggestions?

2. Which sections did you find most useful to you?

3. Which sections were least useful to you?

4. Are there any key content areas that are missing from the plan? If so, please explain.

5. Is there anything contained in the plan that you believe to be incorrect or you would recommend be changed?

Please identify the section, page, and paragraph of concern and provide your rationale.

6. What is your area of professional expertise?

7. What would be your most likely professional role in an infectious disease outbreak?

8. Any other comments?

If you would like to include your name and contact information please fill in the boxes below.