USDAW - Health and Safety Matters feedback form

Name:

Phone number:

Date of campaign day:

On a scale of one to five, how well do you think the H&S Matters Campaign went overall? *

Comments/suggestions:

On a scale of one to five, how engaged were your colleagues with the H&S Matters campaign? *

Comments/suggestions:

On a scale of one to five, how would you rate the materials and merchandise that you were sent? *

Comments/suggestions:

What were your colleagues interested in and what did they want to know more about? *

Was there anything that could have improved H&S Matters campaign?

Would you be willing to hold another H&S Matters campaign at your workplace in future? *

Yes

No

Please make any additional notes/comments if you wish:

Consent for storing submitted data *

Yes, I give permission to store and process my data

Health and Safety Matters campaign feedback form