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* 1. How often do you participate in the Utah Safety Councils Women in Safety events?

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* 2. Due to the current pandemic, I feel comfortable participating

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* 3. I prefer to use the following Social Media Platform for updates, info and networking with Women in Safety:

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* 4. If you do participate, what is most important to you?  If you have not participated, what would motivate you to join?  (Check all that apply.)

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* 5. What would increase your participation? (Check all that apply.)

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* 6. What has caused you / or what may cause you NOT to participate?   (Check all that apply.)

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* 7. As this group evolves, I would like to

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* 8. Provided proper distancing, sanitation, safety type guidelines were put into place (or there were a virtual option), would you attend the following events?

  Absolutely would NOT attend Probably would NOT attend May or may not attend, I am unsure Probably would attend Absolutely will attend
Networking Only Events
Tour of a Local Manufacturing or Production type business
Tour of a Public Safety / Government Type organization
Active Shooter / Self Defense Training for Women
Leading Change - Speaker/Motivational
Engagement - Training / How to engage employees and coworkers
Engagement - Workshop / How do we make an impact, as Women in Safety
Women in Business - Speaker/Motivational
Safety Issues and Emergency Response for Utah Women in Business - Speaker/Informational

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* 9. As a women in safety, what can this organization do (or what resources can this organization provide) to assist you with your efforts?

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* 10. Anything else you want us to know?

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* 11. What is your name?

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* 12. Where do you work and what is your job title?

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* 13. What is your email address?

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