CIR Readiness Survey

For Organization and Business Leaders

Estimated time: 3-6 minutes

Critical incidents (such as workplace accidents, violence, sudden loss, suicide, or natural disasters) can disrupt operations, impact employee well‑being, and create long‑term risk if not managed effectively.

This brief survey helps leaders assess their organization’s readiness to respond to critical incidents, protect their workforce, and maintain business continuity.

Section 1: Organization Information

1. Industry sector:

3. Do you currently have an internal behavioral health crisis response team?

Yes

No

Considering

4. Has your organization experienced a critical incident in the past 5 years?

Yes

No

Critical Incident: A sudden, unexpected event that overwhelms normal coping capacity (e.g., suicide, natural disaster, accident, crime, threats).

If yes, please briefly describe (optional):

Section 2: CIR Preparedness and Capacity

Critical Incident Response (CIR): Structured support that helps organizations stabilize, protect employee well-being, reduce risk, and restore normal operations following a serious event.

Instructions: For each statement, please rate how accurately it reflects your organization.

8.Our organization can provide timely emotional support (within 24 hours) to affected employees and responders after a critical incident.

9. Our workforce and emergency response teams are trained in Psychological First Aid (PFA).

Psychological First Aid (PFA): An evidence-informed practical approach to reduce initial distress and foster short and long-term functioning after a critical incident.

Section 3: Needs and Perceptions

11.CIR services can help our organization reduce risk, protect reputation, and support staff retention.

12. Access to an external, rapid-response CIR team would strengthen our organization’s crisis readiness.

Section 4: Interest in Services

13. Based on your responses, which of the following would be valuable to your organization? (Check all that apply)

A complimentary Workforce Wellness Check

Initial no-cost consultation with a CIR professional

Company training or preparedness workshops

Rapid intervention CIR support (on-call)

Not a priority at this time

Workforce Wellness Check: A brief 15-item digital questionnaire for employees to screen for mental health distress, functioning, and well-being.

If you have additional comments or questions, please share here:

Next Steps

If you expressed interest in the Workforce Wellness Check, consultation, training, or critical incident response services, fill in the optional contact information below and we will follow up within 3-5 business days. To speak with someone sooner please call: 208-278-8828

Contact Information (Optional)

First name

Last name

Company/Organization

Role/Title

Email

Phone

This survey is confidential and designed to support informed leadership decisions.