From: C. L. Staten, Emergency Response & Research Institute
Subject: Emergency/Governmental Agency Survey
To: All concerned Governmental/Emergency Service Agencies
The following survey is intended to gauge the levels of awareness, knowledge, planning and preparedness for the "Year 2000," "Y2K" or "Millennium Bug." Please feel free to redistribute this to other departments/responders, so that they might provide their responses and give us the widest possible cross-section of responses. All replies will be maintained in the strictest confidence and no entity-specific information will be released to any other person or agency. Rest assured that you will not receive any advertising or unsolicited materials as a result of completing this survey.
(Please pick the "best" choice and place an "X" next to your answer:)
1> I have heard of the so-called "Y2K" problem and understand its basic implications for my agency:
( ) Yes
( ) No
2> I believe that the "Millennium Bug" will affect my agency:
( ) Yes
( ) No
( ) I don't know
3> My agency and/or co-workers believe that the Y2K problem is:
( ) A hoax, perpetrated by software salesmen and consultants
( ) Vastly Overblown and will probably have little affect
( ) A problem, but one that can be easily fixed
( ) A serious problem, but one that can be solved in time
( ) A potential catastrophe in the making
( ) Not solvable in the time that is left
4> To the best of my knowledge, my agency has developed an effective internal plan for fixing our own "Y2K problems?
( ) Yes
( ) No
( ) I don't know
5> To the best of my knowledge, my agency has developed effective contingency plans for the external effects of possible "Y2K" problems that may affect the infrastructure in my community?
( ) Yes
( ) No
( ) I don't know
6> My position in the Hierarchy/Chain of Command is: (choose the single best answer)
( ) First responder (officer, firefighter, paramedic, soldier, airman, sailor, etc.)
( ) First-line supervisor (Lieutenant, Sergeant, Field supervisor)
( ) More senior supervisor (Captain, Major, District Commander, etc.)
( ) Chief Officer, Colonel, Executive Level Supervisor, etc.
( ) Chief of Department/General Officer
( ) Other, please describe: ________________________________
7> My department/agency has developed a specific plan to deal with any potential problems that might develop on the the night of December 31, 1999:
( ) Yes
( ) No
( ) I don't know
8> I/we believe that our department is now effectively prepared to deal with any eventuality relating to the "Y2K" or "Millennium Bug"?
( ) Yes
( ) No
( ) I don't know
9> At this time, I/we believe that our department/agency is ______% prepared to deal with any potential problems associated with the "Y2K" issue: (choose the single best answer)
( ) 100%
( ) 90%
( ) 80%
( ) 70%
( ) 60%
( ) 50%
( ) Less than 50%
( ) Not at all, not necessary
10> To the best of my knowledge, our agency/department uses _____________ for our computing needs: (choose the best answer)
( ) Main-frame computers with networked work-stations
( ) PC-based "peer-to-peer" networked work stations
( ) Non-networked PC(s)
( ) "Apple-based" network
( ) Windows/95-98-NT network
( ) Other, please describe: __________________________
11> Please place an "X" next to all other agencies with whom your agency/department is working in regard to overall preparedness for any potential "Y2K" problem that might present itself: (Please check all that pertain to your plans)
( ) Power Company/Electrical Utility
( ) Gas Company
( ) Telecommunications Company
( ) Water Department/Sanitation District
( ) Police Department
( ) Fire Department
( ) EMS Agency
( ) Hospital(s)
( ) Health/human service agency
( ) Radio, TV, Cable media outlets/stations
( ) City/County emergency planning agency
( ) State emergency planning agency
( ) Federal Emergency Management Agency (FEMA)
( ) Nuclear facility
( ) Commercial concerns/businesses
( ) Other, please describe: ______________________
( ) Other, please describe: ______________________
( ) Other, please describe: ______________________
12> I/my department would like to share studies, information, threat assessments, model programs, and contingency plans with other agencies faced with similar problems?
( ) Yes
( ) No
( ) I don't know
I would like to receive a copy of the results of this survey:
( ) Yes
( ) No
( ) I don't know
If yes, please send the results to the following e-mail address:
____________________@_______________________
(Allow 4-6 weeks for results to be tabulated)
I/we would like to add the following additional questions, comments, suggestions, or other pertinent matters concerning this survey or the "Millennium Bug" issue:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
(Optional - Not necessary for study)
My Name: _____________________________________
My Agency _____________________________________
POC Phone Number _________________________________
Please complete this form, and by the most convenient means, return to:
Emergency Response & Research Institute
6348 N. Milwaukee Ave., #312
Chicago, IL. 60646
(773) 631-3774 - Voice
(773) 631-4703 - Fax
(773) 631-3467 - Modem/Emergency BBS On-Line
http://www.emergency.com - Website
webmaster@emergency.com - E-mail