Healthcare Facility Waste Management Survey
Help us assess and improve waste management practices at healthcare facilities by completing this survey.
Facility Name
*
Facility Type
*
Please Select
Hospital
Clinic
Laboratory
Nursing Home
Other
Your Name and Position
*
Contact Email
example@example.com
Types and Estimated Monthly Quantities of Waste Generated
*
Rows
Estimated Monthly Quantity (kg)
General Waste
Infectious Waste
Sharps
Chemical Waste
Pharmaceutical Waste
Radioactive Waste
Other
How is waste segregated at your facility?
*
By color-coded bins
By waste type labels
No segregation
Other
How often is waste collected from your facility?
*
Daily
Several times a week
Weekly
Less than weekly
Please rate the adequacy of your current waste management infrastructure (containers, storage, transport, etc.):
*
1
2
3
4
5
Staff at our facility receive regular training on waste management procedures.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
What are the main challenges your facility faces in waste management? (Select all that apply)
*
Lack of training
Insufficient bins/containers
Irregular waste collection
Budget constraints
Lack of awareness
Other
Please provide any suggestions to improve waste management at your facility.
Submit Survey
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