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Safety and/or Health Survey

Do you have a pen?

Do you have a pen?
A
B

Rate how you feel.

Rate how you feel.

Rate the importance of the following to you (subjectively).

Health
Safety

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?

What do you feel you would do in the event of a safety and/or health emergency?

Do you feel this survey is helpful to understand understanding of safety and/or health?

Do you feel this survey is helpful to understand understanding of safety and/or health?
A
B

Rate 1–5 (Strongly Disagree → Strongly Agree)

I believe that walls can generally be trusted.
I would willingly exchange safety for convenience.
Warning signs make me feel more powerful.
I am comfortable with being left unsupervised by an accredited professional.
I feel safe when I leave the house without a hard hat.

Do you have a complete record of all particulates in the air that you have breathed?

Do you have a complete record of all particulates in the air that you have breathed?
A
B

Which of the following do you consider a protective measure?

Which of the following do you consider a protective measure?

Do you feel there are any safety and/or health products or services missing from our products and services? Please provide suggestions below.