12. How many active members of your fire department only fill support or auxiliary roles and have no direct
firefighting activities?
If any fill only those roles, check all that apply
□ First aid
□ Directing traffic
□ Command post ops
□ Rehab
□ Water supply
□ Communications
□ Logistics
□ Other (specify)
13. Structural firefighting.
A. Is this a role your fire department performs? (Check one) □ Yes □ No
(If no, go to Question 14.)
B. What percentage of the personnel who perform this duty have received formal training (for example in a classroom
or online) at the local, regional or state level (not just on-the-job training)?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)
C. What percentage of department personnel who perform this duty are certified to Firefighter Level I (NFPA 1001)?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)
D. What percentage of your fire department’s firefighters are restricted to exterior firefighting only?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)
14.
Emergency medical service (EMS).
A. Is this a service your fire department provides? (Check one) □ Yes □ No
B. If yes to 14A, what percentage of department personnel performing this duty are certified to the following levels?
(For all that apply, include percentages for highest level. Total must equal 100%)
a. No certification
%
b. First responder
%
c. EMT-Basic
%
d. EMT Intermediate (EMT/I)
%
e. EMT with Advanced Life Support (ALS) or local equivalent
%
f. EMT-Paramedic or equivalent
%
C. Does your community provide ambulance services? □ Yes □ No
(If no, go to Question 14E.)
D. If yes to 14C, is this a fire department based service? □ Yes □ No
E. Does your fire department provide Tactical EMS for law enforcement operations? □ Yes □ No
15. Hazardous materials response (Hazmat).
A. Is this a service your fire department provides? (Check one) □ Yes □ No
(If no, go to Question 16.)
B. What percentage of department personnel performing this duty are certified to the following levels?
(For all that apply, include percentages for highest level. Total must equal 100%)
a. No certification
%
b. Awareness
%
c. Operational
%
d. Technician
%
16.
Wildland-Urban Interface (WUI)/Wildland (brush, grass, forest) firefighting.
A. Is this a role your fire department performs? (Check one) □ Yes □ No
(If no, go to Question 17.)
B. What percentage of the personnel who perform this duty have received formal training (for example in a classroom or
online) at the local, regional or state level (not just on-the-job training)?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)
C. Does this training include specialized Wildland-Urban Interface firefighting operations training? □ Yes □ No
D. How many of your emergency responders are equipped with wildland fire personal protective clothing?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)
17. Technical rescue.
A. Is this a role your fire department performs? (Check one) □ Yes □ No
(If no, go to Question 18.)
B. What percentage of the personnel who perform this duty have received formal training (for example in a classroom or
online) at the local, regional or state level (not just on-the-job training)?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)
18. Fire prevention (preparedness & mitigation).
A. Is this a role your fire department performs? (Check one) □ Yes □ No
B. If yes, what percentage of the personnel who perform this duty have received formal training (for example in a
classroom or online) at the local, regional or state level (not just on-the-job training)?
□ None (0%)
□ Few (1–25%)
□ Some (26–50%)
□ Many (51–75%)
□ Most (76–99%)
□ All (100%)