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2005
July
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Sample Survey
Sample Survey
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Hello:
You are invited to participate in our survey about Workplace fire safety. In this survey, approximately 100 people will be asked to complete a survey that asks questions about how fire safety is managed in their workplace.It will take approximately 5 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Anne Fegn by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Have you been involved in a Fire Evacuation Drill on the premises?
Yes
No
How many Fire Evacuation Drills have you been involved in with the organisation
Do you know where the Fire Exit located nearest to you is?
Yes
No
Do you know where the Fire Extinguisher located nearest to you is?
Yes
No
What type of Fire Extinguisher would you use to extinguish an electrical fire?
Foam
Water
Dry Powder
Carbon Dioxode
What is the function of a fire door?
What is the function of a Break Glass Unit?
Please contact
[email protected]
if you have any questions regarding this survey.
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