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Self-Administered Questionnaire Format

This self-administered questionnaire collects information from respondents including their name, age, gender, nature of work, years of service, protective equipment used if a solid waste worker, and frequency of using protective equipment. Respondents are asked to provide brief answers by selecting options for gender, nature of work, years of service, equipment used, and frequency of use.
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0% found this document useful (0 votes)
79 views1 page

Self-Administered Questionnaire Format

This self-administered questionnaire collects information from respondents including their name, age, gender, nature of work, years of service, protective equipment used if a solid waste worker, and frequency of using protective equipment. Respondents are asked to provide brief answers by selecting options for gender, nature of work, years of service, equipment used, and frequency of use.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SELF-ADMINISTERED QUESTIONNAIRE

1. Name:__________________________
2. Age:_____
3. Gender:
Male Female
4. Nature of work:

Solid Waste Worker Office worker

5. Years of service:
0-2 3-5 6-8 Specify: ____
6. If Solid Waste Worker, what are the Protective Equipments
being used?
Gloves Boots Safety Goggles Hard Hat Mask None
7. Frequency of used of protective equipments:
Always Often Sometimes Seldom Never

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