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Safety and/or Health Survey
Do you have a pen?
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Do you have a pen?
A
Yes
B
No
Rate how you feel.
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Rate how you feel.
1 stars
2 stars
3 stars
4 stars
5 stars
Rate the importance of the following to you (subjectively).
Health
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Health
0
1
2
3
4
5
Safety
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Safety
0
1
2
3
4
5
If safety and/or health is more important to you subjectively than the other one, or if they are of equal importance to you subjectively, please describe why (optional, subjective).
What do you feel you would do in the event of a safety and/or health emergency?
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What do you feel you would do in the event of a safety and/or health emergency?
Panic
Remain calm and then panic.
Run directly towards the emergency and aim the wrong type of fire extinguisher at it.
Panic and then call an accredited safety and/or health professional.
Remain calm and then call an accredited safety and/or health professional.
Do you feel this survey is helpful to understand understanding of safety and/or health?
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Do you feel this survey is helpful to understand understanding of safety and/or health?
A
Yes
B
No
Rate 1–5 (Strongly Disagree → Strongly Agree)
I believe that walls can generally be trusted.
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I believe that walls can generally be trusted.
0
1
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5
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7
8
9
10
I would willingly exchange safety for convenience.
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I would willingly exchange safety for convenience.
0
1
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5
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8
9
10
Warning signs make me feel more powerful.
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Warning signs make me feel more powerful.
0
1
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9
10
I am comfortable with being left unsupervised by an accredited professional.
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I am comfortable with being left unsupervised by an accredited professional.
0
1
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9
10
I feel safe when I leave the house without a hard hat.
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I feel safe when I leave the house without a hard hat.
0
1
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9
10
Do you have a complete record of all particulates in the air that you have breathed?
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Do you have a complete record of all particulates in the air that you have breathed?
A
Yes
B
No
Which of the following do you consider a protective measure?
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Which of the following do you consider a protective measure?
A belief in my good fortune
Safety goggles
Being able to outrun any hazard (I have an athletic background)
A waiver form
Outsourcing health and safety services to a fully accredited and highly professsional safety and/or health professional
Do you feel there are any safety and/or health products or services missing from our products and services? Please provide suggestions below.
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Submit