Home Fire Sprinkler Community Impact Tool Pilot Program Evaluation

- Step 1 of 6

Please complete this form after completing the Home Fire Sprinkler Impact Tool and creating a final presentation. See instructions below on how to access the Impact Tool. Complete evaluations by January 9, 2026 along with the Shareholders evaluation.

Contact Name:

Title:

Fire Department:

City:

State:

Phone:

Email:

Are there homes in your jurisdiction that are protected with fire sprinklers?

If yes, please provide details (such as voluntary/compulsory installation, number of homes/developments sprinklered, any sprinkler saves, builder information, any incentives that were involved, etc.).

Are you in an area where fire sprinklers have been omitted from codes?

If yes, which official(s)/organization(s) supported the omission?

Is your jurisdiction scheduled to update codes that address single-family homes in the next 12 months?

If yes, please describe your role and frequency of participation.

Do you participate in code hearings?

If yes, when?

If no, who in your department/agency does?

Tool Overview

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
Overall, the instructions were clear	Strongly DisagreeOverall, the instructions were clear Strongly Disagree	DisagreeOverall, the instructions were clear Disagree	NeutralOverall, the instructions were clear Neutral	AgreeOverall, the instructions were clear Agree	Strongly AgreeOverall, the instructions were clear Strongly Agree	Not ApplicableOverall, the instructions were clear Not Applicable
Overall, the Impact Tool is easy to use	Strongly DisagreeOverall, the Impact Tool is easy to use Strongly Disagree	DisagreeOverall, the Impact Tool is easy to use Disagree	NeutralOverall, the Impact Tool is easy to use Neutral	AgreeOverall, the Impact Tool is easy to use Agree	Strongly AgreeOverall, the Impact Tool is easy to use Strongly Agree	Not ApplicableOverall, the Impact Tool is easy to use Not Applicable
The tool is easily shareable	Strongly DisagreeThe tool is easily shareable Strongly Disagree	DisagreeThe tool is easily shareable Disagree	NeutralThe tool is easily shareable Neutral	AgreeThe tool is easily shareable Agree	Strongly AgreeThe tool is easily shareable Strongly Agree	Not ApplicableThe tool is easily shareable Not Applicable
The presentation will help me educate decision makers	Strongly DisagreeThe presentation will help me educate decision makers Strongly Disagree	DisagreeThe presentation will help me educate decision makers Disagree	NeutralThe presentation will help me educate decision makers Neutral	AgreeThe presentation will help me educate decision makers Agree	Strongly AgreeThe presentation will help me educate decision makers Strongly Agree	Not ApplicableThe presentation will help me educate decision makers Not Applicable

Tool Features

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
It was easy to register	Strongly DisagreeIt was easy to register Strongly Disagree	DisagreeIt was easy to register Disagree	NeutralIt was easy to register Neutral	AgreeIt was easy to register Agree	Strongly AgreeIt was easy to register Strongly Agree	Not ApplicableIt was easy to register Not Applicable
It was easy to input data	Strongly DisagreeIt was easy to input data Strongly Disagree	DisagreeIt was easy to input data Disagree	NeutralIt was easy to input data Neutral	AgreeIt was easy to input data Agree	Strongly AgreeIt was easy to input data Strongly Agree	Not ApplicableIt was easy to input data Not Applicable
It was easy to delete slides not needed	Strongly DisagreeIt was easy to delete slides not needed Strongly Disagree	DisagreeIt was easy to delete slides not needed Disagree	NeutralIt was easy to delete slides not needed Neutral	AgreeIt was easy to delete slides not needed Agree	Strongly AgreeIt was easy to delete slides not needed Strongly Agree	Not ApplicableIt was easy to delete slides not needed Not Applicable
It was easy to upload a logo	Strongly DisagreeIt was easy to upload a logo Strongly Disagree	DisagreeIt was easy to upload a logo Disagree	NeutralIt was easy to upload a logo Neutral	AgreeIt was easy to upload a logo Agree	Strongly AgreeIt was easy to upload a logo Strongly Agree	Not ApplicableIt was easy to upload a logo Not Applicable
It was easy to create the final presentation	Strongly DisagreeIt was easy to create the final presentation Strongly Disagree	DisagreeIt was easy to create the final presentation Disagree	NeutralIt was easy to create the final presentation Neutral	AgreeIt was easy to create the final presentation Agree	Strongly AgreeIt was easy to create the final presentation Strongly Agree	Not ApplicableIt was easy to create the final presentation Not Applicable
It was easy to download the final PPT	Strongly DisagreeIt was easy to download the final PPT Strongly Disagree	DisagreeIt was easy to download the final PPT Disagree	NeutralIt was easy to download the final PPT Neutral	AgreeIt was easy to download the final PPT Agree	Strongly AgreeIt was easy to download the final PPT Strongly Agree	Not ApplicableIt was easy to download the final PPT Not Applicable

Slide Evaluation

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #1	1 Not easy to useSlide #1 1 Not easy to use	2Slide #1 2	3Slide #1 3	4Slide #1 4	5 Very easy to useSlide #1 5 Very easy to use	Did not useSlide #1 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #2	1 Not easy to useSlide #2 1 Not easy to use	2Slide #2 2	3Slide #2 3	4Slide #2 4	5 Very easy to useSlide #2 5 Very easy to use	Did not useSlide #2 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #3	1 Not easy to useSlide #3 1 Not easy to use	2Slide #3 2	3Slide #3 3	4Slide #3 4	5 Very easy to useSlide #3 5 Very easy to use	Did not useSlide #3 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #4	1 Not easy to useSlide #4 1 Not easy to use	2Slide #4 2	3Slide #4 3	4Slide #4 4	5 Very easy to useSlide #4 5 Very easy to use	Did not useSlide #4 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #5	1 Not easy to useSlide #5 1 Not easy to use	2Slide #5 2	3Slide #5 3	4Slide #5 4	5 Very easy to useSlide #5 5 Very easy to use	Did not useSlide #5 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #6	1 Not easy to useSlide #6 1 Not easy to use	2Slide #6 2	3Slide #6 3	4Slide #6 4	5 Very easy to useSlide #6 5 Very easy to use	Did not useSlide #6 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #7	1 Not easy to useSlide #7 1 Not easy to use	2Slide #7 2	3Slide #7 3	4Slide #7 4	5 Very easy to useSlide #7 5 Very easy to use	Did not useSlide #7 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #8	1 Not easy to useSlide #8 1 Not easy to use	2Slide #8 2	3Slide #8 3	4Slide #8 4	5 Very easy to useSlide #8 5 Very easy to use	Did not useSlide #8 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #9	1 Not easy to useSlide #9 1 Not easy to use	2Slide #9 2	3Slide #9 3	4Slide #9 4	5 Very easy to useSlide #9 5 Very easy to use	Did not useSlide #9 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #10	1 Not easy to useSlide #10 1 Not easy to use	2Slide #10 2	3Slide #10 3	4Slide #10 4	5 Very easy to useSlide #10 5 Very easy to use	Did not useSlide #10 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #11	1 Not easy to useSlide #11 1 Not easy to use	2Slide #11 2	3Slide #11 3	4Slide #11 4	5 Very easy to useSlide #11 5 Very easy to use	Did not useSlide #11 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #12	1 Not easy to useSlide #12 1 Not easy to use	2Slide #12 2	3Slide #12 3	4Slide #12 4	5 Very easy to useSlide #12 5 Very easy to use	Did not useSlide #12 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #13	1 Not easy to useSlide #13 1 Not easy to use	2Slide #13 2	3Slide #13 3	4Slide #13 4	5 Very easy to useSlide #13 5 Very easy to use	Did not useSlide #13 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #14	1 Not easy to useSlide #14 1 Not easy to use	2Slide #14 2	3Slide #14 3	4Slide #14 4	5 Very easy to useSlide #14 5 Very easy to use	Did not useSlide #14 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #15	1 Not easy to useSlide #15 1 Not easy to use	2Slide #15 2	3Slide #15 3	4Slide #15 4	5 Very easy to useSlide #15 5 Very easy to use	Did not useSlide #15 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #16	1 Not easy to useSlide #16 1 Not easy to use	2Slide #16 2	3Slide #16 3	4Slide #16 4	5 Very easy to useSlide #16 5 Very easy to use	Did not useSlide #16 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #17	1 Not easy to useSlide #17 1 Not easy to use	2Slide #17 2	3Slide #17 3	4Slide #17 4	5 Very easy to useSlide #17 5 Very easy to use	Did not useSlide #17 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #18	1 Not easy to useSlide #18 1 Not easy to use	2Slide #18 2	3Slide #18 3	4Slide #18 4	5 Very easy to useSlide #18 5 Very easy to use	Did not useSlide #18 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #19	1 Not easy to useSlide #19 1 Not easy to use	2Slide #19 2	3Slide #19 3	4Slide #19 4	5 Very easy to useSlide #19 5 Very easy to use	Did not useSlide #19 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #20	1 Not easy to useSlide #20 1 Not easy to use	2Slide #20 2	3Slide #20 3	4Slide #20 4	5 Very easy to useSlide #20 5 Very easy to use	Did not useSlide #20 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #21	1 Not easy to useSlide #21 1 Not easy to use	2Slide #21 2	3Slide #21 3	4Slide #21 4	5 Very easy to useSlide #21 5 Very easy to use	Did not useSlide #21 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #22	1 Not easy to useSlide #22 1 Not easy to use	2Slide #22 2	3Slide #22 3	4Slide #22 4	5 Very easy to useSlide #22 5 Very easy to use	Did not useSlide #22 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #23	1 Not easy to useSlide #23 1 Not easy to use	2Slide #23 2	3Slide #23 3	4Slide #23 4	5 Very easy to useSlide #23 5 Very easy to use	Did not useSlide #23 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #24	1 Not easy to useSlide #24 1 Not easy to use	2Slide #24 2	3Slide #24 3	4Slide #24 4	5 Very easy to useSlide #24 5 Very easy to use	Did not useSlide #24 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #25	1 Not easy to useSlide #25 1 Not easy to use	2Slide #25 2	3Slide #25 3	4Slide #25 4	5 Very easy to useSlide #25 5 Very easy to use	Did not useSlide #25 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #26	1 Not easy to useSlide #26 1 Not easy to use	2Slide #26 2	3Slide #26 3	4Slide #26 4	5 Very easy to useSlide #26 5 Very easy to use	Did not useSlide #26 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #27	1 Not easy to useSlide #27 1 Not easy to use	2Slide #27 2	3Slide #27 3	4Slide #27 4	5 Very easy to useSlide #27 5 Very easy to use	Did not useSlide #27 Did not use

	1 Not easy to use	2	3	4	5 Very easy to use	Did not use
Slide #28	1 Not easy to useSlide #28 1 Not easy to use	2Slide #28 2	3Slide #28 3	4Slide #28 4	5 Very easy to useSlide #28 5 Very easy to use	Did not useSlide #28 Did not use

Please enter any comment suggestions you have about specific Slide(s) or slides that may be missing.

I know which of my local decision makers will benefit most from this presentation.

If no, please contact us so we can assist you.

I have a plan to share the presentation with my decision makers within the next 5 weeks

If No, why not?

I have a plan to share the presentation with my decision makers within the next 5 weeks

decision homes to

If Yes, please briefly summarize your plan.

What format would you use to inform decisionmakers: (Please check all that apply.

PPT
PDF
In person presentation
E-mail
Other (please describe)

Any additional comments?