Hand Hygiene Education Survey
We appreciate your feedback! Please take a moment to complete this survey regarding hand hygiene education.
How often do you wash your hands?
Before meals
After using the restroom
After coughing or sneezing
Rarely
Always
How do you usually wash your hands?
With soap and water
With hand sanitizer
With just water
I do not wash my hands
Other
On a scale of 1-5, how effective do you believe hand hygiene is in preventing illness?
Not Effective
1
2
3
4
Very Effective
5
1 is Not Effective, 5 is Very Effective
Have you received any education on hand hygiene?
Yes
No
If yes, where did you receive this education?
What additional information would you like to learn about hand hygiene?
How likely are you to recommend hand hygiene practices to others?
Not Likely
1
2
3
4
Very Likely
5
1 is Not Likely, 5 is Very Likely
Any additional comments or suggestions?
Submit
Should be Empty: