Exit SESLHD COVID Safety July 2021 Question Title * 1. Have you been vaccinated for COVID-19? Yes No Rather not say Question Title * 2. Has your mask been fit tested? Yes No Question Title * 3. Are you being asked to work in either ED, ICU, Respiratory Wards or COVID Wards? Yes No Question Title * 4. Is your PPE adequate? Yes No Question Title * 5. Do you feel adequately protected from COVID-19 at work? Yes No Question Title * 6. Would you be interested in attending a Zoom meeting over this issue? Yes No Question Title * 7. What would time and day would be best for you to attend a Zoom meeting? Lunchtime Afternoon Early evening Monday Monday Lunchtime Monday Afternoon Monday Early evening Tuesday Tuesday Lunchtime Tuesday Afternoon Tuesday Early evening Wednesday Wednesday Lunchtime Wednesday Afternoon Wednesday Early evening Thursday Thursday Lunchtime Thursday Afternoon Thursday Early evening Friday Friday Lunchtime Friday Afternoon Friday Early evening Question Title * 8. Are you an HSU member? Yes No No, but I'm interested in joining Question Title * 9. Which hospital do you work at? Question Title * 10. Please enter any further comments here. Question Title * 11. Contact details Name Email Address Phone Number Done
