Please provide your feedback to help us improve our program. Your responses to this survey will be anonymous. Once your anonymous feedback has been submitted, please follow prompts at end of survey to enter a drawing for prizes.
Type of respirator used:
Do you use an N95 filtering face mask for any of the following workplace conditions?
Have you had any changes in your medical condition that affect your ability to use your respirator (such as lung or heart conditions)? (please contact program administrator if you answer yes or don't understand this question)
Did you receive training in how to use your respirator?
In your opinion is the current Respiratory Protection Program effective?
If no, what would make our program more effective?
Is the respirator you currently use appropriate to the respiratory hazards you encounter in your work?
Is the respirator you currently use appropriate for the workplace conditions you encounter?
Does your respirator fit consistently and properly on your face?
In the last year did you have any emergency situations or unexpected accidents while using your respirator?
Do you have a place to store your respirator while not in use?
Do you know how to clean and maintain your respirator?
Do you have access to supplies needed for your respirator (cartridges, additional respirators)?
