Please complete this survey as soon as you can. The information will be sent to the D-10 Administrative AEC, WØAVV.

The information is needed so that as we make contacts with served agencies, we know where we stand in terms of resources, manpower and training.

You will find at the end you are asked for comments. I always welcome complaints, criticisms or negative comments, with this caveat, if you voice those kinds of things, I expect you to offer suggestions or solutions for your complaints, criticisms or negative comments. Workable solutions that take into consideration other related factors and activities.

Thanks,
Randy Long, W0AVV
Administrative AEC, ARESCO D-10

Name:
Callsign:
E-mail address:
License Class:	- Tech/Tech Plus General/Advanced/Extra
Your Phone Number:
Your mailing address:

What Bands do you have at Home?

What Bands do you have Portable/Mobile?


What emergency power resources do you have? (Generators, Batteries, Solar, etc.)


What training completions do you have? (ECom, ICS, CERT, Red Cross, etc.)


What portable antennas do you have?


What is your availability? (Days - Times)


Does your family have an emergency plan? (plan in terms of contingencies in case of emergency, where they would be taken care of)    - Yes No

Do you have a 72 hour go bag, for your personal use, ready to go?    - Yes No

Do you have a go bag with your radio equipment ready to go?    - Yes No

Do you maintain extra (72 hour pack) food, water and medical supplies for your family?    - Yes No

On a scale of 1-10 please rate your preparedness or proficiencies. 1 being least prepared or proficient, 10 being most proficient. Fill in where it is appropriate. At the conclusion of the survey, feel free to write comments you may have regarding D-10, its administration, activities, training, suggestions. Please remember the requirements requested in the opening statement.

Voice operations?
- 1 - Least prepared 2 3 4 5 - Average preparation 6 7 8 9 10 - Totally prepared

Traffic handling?
- 1 - Least prepared 2 3 4 5 - Average preparation 6 7 8 9 10 - Totally prepared

Net control?
- 1 - Least prepared 2 3 4 5 - Average preparation 6 7 8 9 10 - Totally prepared

Setting up Emergency Station?
- 1 - Least prepared 2 3 4 5 - Average preparation 6 7 8 9 10 - Totally prepared

Setting up portable antennas?
- 1 - Least prepared 2 3 4 5 - Average preparation 6 7 8 9 10 - Totally prepared

Attentiveness to radio traffic? (includes accuracy of copy, missing calls for you station, attention to traffic for other stations, etc)
- 1 - Least prepared 2 3 4 5 - Average preparation 6 7 8 9 10 - Totally prepared

How would you rate your over all confidence for ARES call outs in terms of your training?
- 1 - Least confident 2 3 4 5 - Average 6 7 8 9 10 - Totally confident

How would you rate the training you are offered via D-10?
- 1 - Least adequate 2 3 4 5 - Average 6 7 8 9 10 - Totally rocks

How can that be improved?


What do you see as training strong points in this district?


What do you see as the strengths of this district in terms of service we can offer our served agencies?


What do you see as weaknesses of this district are, in terms of service we can offer agencies?


If you were in leadership in this group, how do you see that things should change (if necessary) and how would you implement those changes?


How would you rate responsiveness of the D-10 leadership ?
- 1 - Least 2 3 4 5 - Average 6 7 8 9 10 - Totally rocks

Please define what you see ARES role in the community as being in terms of how we serve our served agencies?