Standard Precautions Survey Form
Please complete this survey to help us understand current practices, training, adherence, and improvement needs regarding standard precautions.
Your role in the organization
*
Please Select
Nurse
Physician
Technician
Support Staff
Administrator
Other
Have you received formal training on standard precautions?
*
Yes, within the last year
Yes, more than a year ago
No
How confident are you in your understanding of standard precautions?
*
1
2
3
4
5
How often do you follow standard precautions in your daily work?
*
Always
Most of the time
Sometimes
Rarely
Never
Please indicate your level of agreement with the following statements:
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have easy access to personal protective equipment (PPE).
1
2
3
4
5
My workplace supports adherence to standard precautions.
6
7
8
9
10
I feel comfortable reminding others to follow standard precautions.
11
12
13
14
15
What are the main barriers you face in following standard precautions?
Time constraints
Lack of supplies
Insufficient training
Forgetfulness
Low perceived risk
Other
How would you rate the overall support for standard precautions at your workplace?
*
1
2
3
4
5
How frequently are standard precautions discussed in team meetings or trainings?
*
Very frequently
Frequently
Occasionally
Rarely
Never
What additional resources or support would help you follow standard precautions more consistently?
Please share any suggestions or comments for improving standard precautions practices.
Submit Survey
Should be Empty: