Resident Safety Procedure Evaluation Form
Help us assess and improve our resident safety procedures by providing your feedback below.
How clearly are the resident safety procedures communicated to you?
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1
2
3
4
5
How confident do you feel in your ability to follow the safety procedures?
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Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
How frequently are safety procedures reviewed or updated?
*
Please Select
Monthly
Quarterly
Annually
Rarely
Never
How effective do you find the current resident safety procedures in preventing incidents?
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1
2
3
4
5
How would you rate the training provided for resident safety procedures?
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1
2
3
4
5
How accessible is safety equipment when needed?
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Not accessible
1
2
3
4
Always accessible
5
1 is Not accessible, 5 is Always accessible
When was the last time you participated in a safety drill?
*
Please Select
Within the past month
Within the past 3 months
Within the past year
More than a year ago
Never
How promptly are safety incidents reported and addressed?
*
Very slow
1
2
3
4
Very prompt
5
1 is Very slow, 5 is Very prompt
What improvements would you suggest for resident safety procedures?
Additional comments or concerns regarding resident safety:
Submit Evaluation
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