HeySurvey survey

Health & Safety Experience Survey 🦺

How safe do you feel in your usual environment?*

Think about your workplace, facility, event, or service area overall.

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2

3

4

5

Very unsafe to Very safe

Which health and safety issues have you noticed recently?

Select all that apply.

Slips, trips, or falls
Poor lighting or visibility
Unsafe equipment or tools
Cleanliness or hygiene concerns
Fire or emergency exit concerns
Stress, fatigue, or burnout
None of the above
Other

Have you received clear health and safety instructions?*

Consider training, signs, reminders, or guidance you have been given.

Yes, completely
Yes, somewhat
No, not really
No, not at all

What is the biggest health or safety concern you have right now?

A short answer is fine.

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

This could include fire, injury, medical issues, or evacuation.

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2

3

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5

From Least to Most

Which safety resources are easy for you to access?

Select all that apply.

First aid supplies
Emergency exits
Protective equipment
Safety contact or supervisor
Reporting system for hazards
Wellness or mental health support
I’m not sure what is available

In the past 3 months, have you reported a health or safety concern?

Choose the option that best matches your experience.

Yes, and it was addressed
Yes, but it was not addressed
No, I noticed nothing to report
No, I was unsure how to report it
No, I did not feel comfortable reporting it

What would help improve health and safety most?*

Share one practical idea or change that would make a difference.

Thank you for taking a part in this survey.

This is a HeySurvey survey template.