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Enter primary contact's full name
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Choose a password (at least 6 characters, no spaces, case-sensitive)
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By proceeding, you agree to the Terms of Service and Privacy Policy.
Or, sign up with email

user-picsrating-star crowd-logo captera-logo Rated 4.8/5 stars

Survey for Healthcare Professionals in COVID-19 Affected Areas

Measure the readiness and preparedness of hospitals to handle COVID-19 Patients

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  • Lightening fast setup

List of Survey for Healthcare Professionals Questions

The following questions are included in this Survey for Healthcare Professionals Template. 

  • First Name
  • Last Name
  • Birthday
  • What is your gender?
  • Country
  • Name of hospital or healthcare facility you work in
  • Have there been any known or suspected COVID-19 virus cases in the facility you work in?
  • Is your facility equipped to handle cases of COVID-19?
  • Rate your facility in the following aspects
  • Have you been given training to handle known or suspected cases of COVID-19?
  • Do you feel prepared to care for patients with COVID-19?
  • Have you personally dealt with a known or suspected COVID-19 patient?
  • Has your facility done enough to ensure your safety?
  • Have you been instructed on what to do if you feel you've been exposed to a known or suspected COVID-19 patient?
  • Do you feel safe at work?
  • Has your facility offered you additional compensation or benefits during the duration of the COVID-19 epidemic?

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