Infection Prevention Knowledge Survey
Please complete this survey to help us assess current practices and knowledge about infection prevention.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What is your occupation?
*
Please Select
Healthcare worker
Administrative staff
Student
Other
How many years of experience do you have in your current role?
*
How often do you perform hand hygiene in the following situations?
*
Rows
Always
Often
Sometimes
Rarely
Never
Before patient contact
1
2
3
4
5
After patient contact
6
7
8
9
10
After removing gloves
11
12
13
14
15
Before eating
16
17
18
19
20
Which of the following are effective methods to prevent infection? (Select all that apply)
*
Hand washing with soap and water
Wearing personal protective equipment (PPE)
Using hand sanitizer
Avoiding sick individuals
Other
How confident are you in your knowledge about infection prevention?
*
1
2
3
4
5
Have you received formal training on infection prevention in the last 2 years?
*
Yes
No
Please indicate your agreement with the following statements about infection prevention.
*
Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Hand hygiene is the most effective way to prevent infection.
21
22
23
24
25
PPE should always be worn when in contact with bodily fluids.
26
27
28
29
30
Regular training improves infection prevention practices.
31
32
33
34
35
I feel my workplace provides adequate resources for infection prevention.
36
37
38
39
40
What are the main challenges you face in practicing infection prevention? (Please specify)
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