CIR Readiness Survey

For Businesses and Organizations

Estimated time: 3-6 minutes

Behavioral health Critical Incident Response (CIR) services are designed to support workforce stability, emotional recovery, and business continuity after sudden, overwhelming events such as accidents, violence, sudden death, natural disasters, or other crises inside our outside the workplace. This survey helps evaluate your organization’s current CIR readiness and identify opportunities for growth.

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 one or more critical incidents 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

(CIR) Critical Incident Response: Behavioral health services designed to support employee well-being and restore workplace functioning following a tragic event.

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

9. Our CIR providers are trained in Psychological First Aid (PFA).

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

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

Section 3: Needs and Perceptions

13.Our organization would benefit from rapid-response behavioral health care following a crisis.

14.CIR services could help us prevent long-term trauma responses, legal claims, and workforce stress.

Section 4: Interest in Services

15. Would you be interested in any of the following? (Check all that apply)

A complimentary Workforce Wellness Check

Initial no-cost consultation with a CIR professional

Company training or preparedness workshops

On-demand CIR support (on-call)

No interest at this time

Workforce Wellness Check: A 15-item digital questionnaire for employees to screen for trauma, anxiety, depression, functioning, and well-being.

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

Next Steps

If you expressed interest in 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