HeySurvey survey

Safety Check-In Survey 🦺

How safe do you feel in your usual environment?*

Think about your day-to-day work, visit, or participation experience overall.

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5

Very unsafe to Very safe

Which safety concerns have you noticed recently?

Select all that apply based on what you have seen or experienced.

Slippery floors or trip hazards
Poor lighting
Unsafe equipment or tools
Emergency exits blocked or unclear
Lack of safety instructions
Stress, fatigue, or burnout
Harassment or threatening behavior
No concerns noticed

Have you received clear safety instructions or guidance?*

This helps us understand whether people know what to do in everyday and emergency situations.

Yes, clearly
Somewhat
No
Not sure

What safety issue should be addressed first?

Share the one concern you think needs the most attention.

How confident are you that you know what to do in an emergency?*

For example, evacuation, reporting an incident, or getting help quickly.

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5

Not confident at all to Very confident

Which safety resources would help you most?

Choose any that would make you feel more informed and supported.

More safety training
Clearer signs and instructions
Better equipment or maintenance
Easier incident reporting
More staff or supervisor support
Mental health or wellness support

How comfortable do you feel reporting a safety concern?*

We want to know if people feel safe speaking up without worry.

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5

Very uncomfortable to Very comfortable

Please share any suggestions to improve safety 👇

Your ideas can help create a safer and more supportive experience for everyone.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.