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すべてのテンプレート
Industry-Specific

Disaster Preparedness and Response Readiness Survey

Assesses how prepared people actually felt, what emergency communications and procedures worked, and where gaps showed up during a real event or drill. Built for emergency management teams, facilities, and HSE departments benchmarking readiness, with an AI follow-up that reconstructs exactly what happened during the respondent's most recent disaster or drill instead of relying on general perceptions.

このテンプレートを使うほかのテンプレートを見る

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全13問・約7分
Q01
メッセージ

Thanks for taking a few minutes to help us strengthen (Replace with your organization/community name)'s disaster preparedness. Your responses are completely confidential and anonymized. Please think of the most recent emergency drill or real disaster you experienced. This will take about 5-6 minutes and your honest answers matter most.

Q02
選択式必須

Which of the following best describes your most recent experience with an emergency or disaster event in the past 12 months?

  • A real disaster or emergency (e.g., fire, flood, storm, earthquake)
  • A scheduled emergency drill or exercise
  • Both a real event and a drill
  • Neither - no experience in the past 12 months
Q03
オピニオンスケール必須

Before that event or drill began, how prepared did you feel to respond appropriately?

スケール: 1 – 7
最小:Not prepared at all最大:Extremely prepared
Q04
マトリクス必須

Thinking about that same event, how would you rate each of the following?

5行 × 5列
  • Clarity of evacuation or shelter-in-place instructions
  • Timeliness of alerts and warnings
  • Availability of emergency supplies (first aid, water, flashlights, etc.)
  • Communication from leadership or emergency coordinators
  • Support and resources available during recovery
列: Poor · Fair · Good · Very good · Excellent
Q05
選択式必須

At the time of the event, did you know your designated evacuation route or emergency assembly point?

  • Yes, clearly
  • Somewhat, but I hesitated
  • No, I did not know
  • Not applicable - no evacuation was required
Q06
評価スケール必須

How would you rate the clarity of the emergency alerts you received (text, siren, app notification, PA announcement, etc.)?

範囲: 1 – 5
最小:Very unclear最大:Very clear
Q07
ベスト・ワースト選択（MaxDiff）必須

Which of these improvements would matter most to your safety and confidence in a future emergency? Choose the most and least important each round.

  • Faster alert and warning systems
  • Clearer evacuation signage and routes
  • More frequent emergency drills
  • Better-stocked emergency supplies and shelters
  • Improved communication from leadership during events
  • Stronger coordination with local emergency services
  • More accessible support for people with mobility or health needs
  • Better post-disaster recovery and support resources
各セットで最も良いもの・最も悪いものを選択最も良い:Most important最も悪い:Least important
Q08
ポイント配分必須

If you had 100 points to invest in improving disaster readiness, how would you split them across these areas?

  • Alert and warning systems
  • Training and drills
  • Physical infrastructure (shelters, signage, exits)
  • Communication tools and coordination
  • Post-disaster recovery and support services
100ポイントを配分
Q09
AIインタビュー

Reconstruct exactly what happened for this respondent during the specific event or drill they described: what alert or instruction they first received, what they did step by step, and where confusion or delay occurred. If they said they didn't know their evacuation route or rated communication poorly, probe concretely what information was missing and what would have changed their behavior in the moment.

Q10
自由回答（長文）

What is the one change that would have most improved your confidence or safety during that event?

Q11
選択式

Which best describes your role during emergencies at your organization or community?

  • General staff/resident with no formal emergency role
  • Designated warden, marshal, or first responder
  • Facilities, safety, or emergency management staff
  • Manager or leadership responsible for coordinating response
  • Prefer not to say
Q12
自由回答（短文）

Which site, building, or region were you in during that event? (Optional - helps us localize improvements)

Q13
メッセージ

Thank you for sharing your experience. Your answers will feed directly into updating our emergency alerts, drills, and response procedures - no individual responses will be shared outside the safety team.

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Uses an AI follow-up interview to reconstruct exactly what happened during the respondent's most specific recent event or drill, rather than relying on general recall or checkbox ratings
  • Combines structured measurement (opinion scale, matrix, rating, max-diff, constant-sum) with open-ended probing, so readiness gaps show up in both the numbers and the narrative
  • Captures role, location, and prior knowledge of evacuation routes/procedures so emergency management teams can segment results by site, building, or region
  • Every prompt is transparent and results roll up into an auto-generated report, so HSE teams can see exactly what was asked and why a gap was flagged

Jotform

Disaster Management Checklist Form Template

This is a checklist-style form for tracking disaster management tasks and resources rather than a perception/readiness survey. It's built for quick data capture and customization within Jotform's drag-and-drop builder, not for reconstructing what happened during a specific event.

優れている点

  • Easy to customize within Jotform's form builder
  • Simple checklist format suited for operational tracking
  • Free to start using like most Jotform templates

物足りない点

  • Static checklist with no adaptive follow-up questions to probe individual experiences
  • No mechanism to reconstruct a respondent's specific recent event or drill
  • No automated per-response quality scoring or generated readiness report

QuestionPro

Disaster Management Survey Questions + Sample Questionnaire Template

This page reads as a guide with sample questions and a downloadable questionnaire rather than a ready-to-field adaptive survey. It's useful as a reference for question ideas but requires manual assembly into a live survey instrument.

優れている点

  • Broad library of sample disaster management questions to draw from
  • Backed by an established survey platform with wide question-type support
  • Free sample questionnaire available for reference

物足りない点

  • Presented as a static question list/guide rather than a fielding-ready adaptive interview
  • No AI-driven follow-up to reconstruct a respondent's actual recent event
  • No published methodology for scoring response quality

SurveySparrow

Disaster Recovery Plan Questionnaire

A conversational-style questionnaire template focused on disaster recovery planning, fielded through SurveySparrow's chat-like survey format. It's ready to deploy but relies on fixed question paths rather than dynamic, event-specific probing.

優れている点

  • Conversational UI that can feel more engaging than a traditional form
  • Ready-to-use template within SurveySparrow's business template library
  • Supports standard question types like rating and multiple choice

物足りない点

  • No adaptive AI follow-up to dig into what specifically happened during a respondent's event or drill
  • No voice AI interview option or guided screen-share tasks
  • No automated per-response quality scoring or transparent prompt methodology

よくあるご質問

「Disaster Preparedness and Response Readiness Survey」テンプレートにはどのような設問が含まれていますか？

すぐに使える設問が13問含まれており、最初の設問は次のとおりです：「Thanks for taking a few minutes to help us strengthen (Replace with your organization/community name)'s disaster prepare…」・「Which of the following best describes your most recent experience with an emergency or disaster event in the past 12 mon…」・「Before that event or drill began, how prepared did you feel to respond appropriately?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか？

回答者は通常、13問を約7分で回答し終えます。

テンプレートは編集できますか？

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか？

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか？

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

このテンプレートを使う無料で始める

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