NIOSH - FACE Survey Response

1.

Which NIOSH FACE report, Alert, or Workplace Solutions are you providing input on? (FACE report number or NIOSH Publication Number)

2.

Which division best describes your industry?

Argriculture, forestry, fishing
Mining
Construction
Manufacturing
Transportation, communications, electric, gas, and sanitary services
Wholesale trade
Retail Trade
Finance, insurance, real estate
Services
Public administration
Education
Government
Other (describe)

3.

Which entry below best describes your position?

Employee
Manager/supervisor
Business owner
Volunteer
Safety/Health professional
Researcher
Educator
Healthcare practitioner
Other (describe)

4.

How did you read this publication?

Cover to cover
Sections of interest only
Summary only
Recommendations only
Other (describe)

5.

How would you rate the information contained in this publication?

Excellent
Good
Fair
Poor
Undecided

6.

What portions of the publication did you find useful? (check all that apply)

Statistics
Case Studies
Recommendations
References
Other (describe)

7.

Do you think the recommendations could be implemented in your workplace?

Yes
Somewhat
Undecided
No

8.

Are you or employees you are responsible for exposed to the safety hazards identified in this publication?

I am exposed to these hazards
Employees I am responsible for are exposed to these hazards
Both myself and employees are exposed to these hazards
Neither I nor employees I am responsible for are exposed to these hazards

9.

How will the information in this publication be used? (check all that apply)

Distribute directly to workers
Post on bulletin board
Use in employee training/safety meetings
Distribute to company owners/operators
Use to update/upgrade safety program/procedures
Use to change work environment
Payroll Stuffer
Use in technical, vocational, or secondary educational programs
Use in State, county, or community outreach efforts
To assist in future research
Will not use
Other (describe)

10.

Additional comments, recommendations, or suggestions:

11.

If you would like to receive e-mail notifications of future NIOSH FACE-related materials, complete the information below:

Name:
E-mail address:

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	1.	Which NIOSH FACE report, Alert, or Workplace Solutions are you providing input on? (FACE report number or NIOSH Publication Number)


	2.	Which division best describes your industry?
		Argriculture, forestry, fishing Mining Construction Manufacturing Transportation, communications, electric, gas, and sanitary services Wholesale trade Retail Trade Finance, insurance, real estate Services Public administration Education Government Other (describe)
	3.	Which entry below best describes your position?
		Employee Manager/supervisor Business owner Volunteer Safety/Health professional Researcher Educator Healthcare practitioner Other (describe)
	4.	How did you read this publication?
		Cover to cover Sections of interest only Summary only Recommendations only Other (describe)
	5.	How would you rate the information contained in this publication?
		Excellent Good Fair Poor Undecided
	6.	What portions of the publication did you find useful? (check all that apply)
		Statistics Case Studies Recommendations References Other (describe)
	7.	Do you think the recommendations could be implemented in your workplace?
		Yes Somewhat Undecided No
	8.	Are you or employees you are responsible for exposed to the safety hazards identified in this publication?
		I am exposed to these hazards Employees I am responsible for are exposed to these hazards Both myself and employees are exposed to these hazards Neither I nor employees I am responsible for are exposed to these hazards
	9.	How will the information in this publication be used? (check all that apply)
		Distribute directly to workers Post on bulletin board Use in employee training/safety meetings Distribute to company owners/operators Use to update/upgrade safety program/procedures Use to change work environment Payroll Stuffer Use in technical, vocational, or secondary educational programs Use in State, county, or community outreach efforts To assist in future research Will not use Other (describe)
	10.	Additional comments, recommendations, or suggestions:


	11.	If you would like to receive e-mail notifications of future NIOSH FACE-related materials, complete the information below:
		Name: E-mail address:



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	FACE Online Publication Evaluation Form

FACE Online Publication Evaluation Form