Respiratory Virus Preparedness Survey
Help us assess your organization's readiness and protocols for respiratory virus outbreaks.
Your Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Organization/Facility Name
*
Your Role/Position
*
Please Select
Healthcare Provider
Administrator
Infection Control Staff
Support Staff
Other
How would you rate your organization's overall preparedness for a respiratory virus outbreak?
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1
2
3
4
5
Which of the following preparedness measures are currently in place at your organization? (Select all that apply)
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Written respiratory virus response plan
Regular staff training on infection control
Adequate supply of personal protective equipment (PPE)
Screening protocols for staff and visitors
Isolation areas for symptomatic individuals
Other
Please indicate your level of agreement with the following preparedness statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Staff are aware of respiratory virus protocols
1
2
3
4
5
We have sufficient PPE for staff
6
7
8
9
10
Clear communication channels exist for outbreak alerts
11
12
13
14
15
Regular training is provided on respiratory virus response
16
17
18
19
20
Have you conducted a respiratory virus preparedness drill or simulation in the past 12 months?
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Yes
No
Not sure
If yes, what were the key lessons learned from the most recent drill or simulation?
What resources or support would most improve your preparedness for a respiratory virus outbreak?
Submit Survey
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