Attention Hard Working Women of the World

Tell Me About Your Work Environment

Thank-you for taking ~4 minutes to complete this survey. Your confidential answers will be used anonymously to start a conversation with industry employers to uncover some of the lesser voiced barriers women face in the field, and to guide the development of Helga Wear's product line.

Thank-you for your time, Jodi Huettner

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* 1. What is the title of your position at work?

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* 2. On which type(s) of job site(s) do you work? For example construction sites, remote field work, mine sites, rail yards, road/highway construction

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* 3. Select your age group:

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* 4. Select all that may apply to you on the job

	Always	Often	Sometimes	Rarely	Never
I have access to indoor washrooms	I have access to indoor washrooms Always	I have access to indoor washrooms Often	I have access to indoor washrooms Sometimes	I have access to indoor washrooms Rarely	I have access to indoor washrooms Never
Portable toilettes (porto-potties) are my only option for using the washroom	Portable toilettes (porto-potties) are my only option for using the washroom Always	Portable toilettes (porto-potties) are my only option for using the washroom Often	Portable toilettes (porto-potties) are my only option for using the washroom Sometimes	Portable toilettes (porto-potties) are my only option for using the washroom Rarely	Portable toilettes (porto-potties) are my only option for using the washroom Never
My only option is to use the washroom out in mother nature - no facility	My only option is to use the washroom out in mother nature - no facility Always	My only option is to use the washroom out in mother nature - no facility Often	My only option is to use the washroom out in mother nature - no facility Sometimes	My only option is to use the washroom out in mother nature - no facility Rarely	My only option is to use the washroom out in mother nature - no facility Never
I am satisfied with my access to washroom facilities	I am satisfied with my access to washroom facilities Always	I am satisfied with my access to washroom facilities Often	I am satisfied with my access to washroom facilities Sometimes	I am satisfied with my access to washroom facilities Rarely	I am satisfied with my access to washroom facilities Never
I am satisfied with the washroom facilities themselves (when they exist)	I am satisfied with the washroom facilities themselves (when they exist) Always	I am satisfied with the washroom facilities themselves (when they exist) Often	I am satisfied with the washroom facilities themselves (when they exist) Sometimes	I am satisfied with the washroom facilities themselves (when they exist) Rarely	I am satisfied with the washroom facilities themselves (when they exist) Never
My success on the job depends on my speed and my accuracy	My success on the job depends on my speed and my accuracy Always	My success on the job depends on my speed and my accuracy Often	My success on the job depends on my speed and my accuracy Sometimes	My success on the job depends on my speed and my accuracy Rarely	My success on the job depends on my speed and my accuracy Never
I avoid using the washroom facilities for example by 'holding it', or by restricting my fluid intake	I avoid using the washroom facilities for example by 'holding it', or by restricting my fluid intake Always	I avoid using the washroom facilities for example by 'holding it', or by restricting my fluid intake Often	I avoid using the washroom facilities for example by 'holding it', or by restricting my fluid intake Sometimes	I avoid using the washroom facilities for example by 'holding it', or by restricting my fluid intake Rarely	I avoid using the washroom facilities for example by 'holding it', or by restricting my fluid intake Never

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* 5. On the job, I suffer from

	Always	Often	Sometimes	Rarely	Never
Headaches	Headaches Always	Headaches Often	Headaches Sometimes	Headaches Rarely	Headaches Never
Dizziness	Dizziness Always	Dizziness Often	Dizziness Sometimes	Dizziness Rarely	Dizziness Never
Urinary tract infections	Urinary tract infections Always	Urinary tract infections Often	Urinary tract infections Sometimes	Urinary tract infections Rarely	Urinary tract infections Never
Above average tiredness	Above average tiredness Always	Above average tiredness Often	Above average tiredness Sometimes	Above average tiredness Rarely	Above average tiredness Never

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* 6. With respect to your personal protective equipment (PPE):

	Yes	No
I am required to wear fire/flame resistant clothing on one or more job sites	I am required to wear fire/flame resistant clothing on one or more job sites Yes	I am required to wear fire/flame resistant clothing on one or more job sites No
I am required to wear a hard hat on one or more job sites	I am required to wear a hard hat on one or more job sites Yes	I am required to wear a hard hat on one or more job sites No
I am required to wear steel toed boots on one or more job sites	I am required to wear steel toed boots on one or more job sites Yes	I am required to wear steel toed boots on one or more job sites No
I am required to wear high-visibility and/or retro-reflective striping on one or more job sites as per the Canadian Centre for Occupational Health & Safety	I am required to wear high-visibility and/or retro-reflective striping on one or more job sites as per the Canadian Centre for Occupational Health & Safety Yes	I am required to wear high-visibility and/or retro-reflective striping on one or more job sites as per the Canadian Centre for Occupational Health & Safety No
I am compensated in whole or in part for my PPE expenses	I am compensated in whole or in part for my PPE expenses Yes	I am compensated in whole or in part for my PPE expenses No
I purchase my PPE online	I purchase my PPE online Yes	I purchase my PPE online No
I purchase my PPE by visiting a retail store in person	I purchase my PPE by visiting a retail store in person Yes	I purchase my PPE by visiting a retail store in person No

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* 7. Are you interested in

	Yes	No
hearing about the latest field gear developed for women by women	hearing about the latest field gear developed for women by women Yes	hearing about the latest field gear developed for women by women No
field testing gear in exchange for product or product discounts	field testing gear in exchange for product or product discounts Yes	field testing gear in exchange for product or product discounts No
participating in a focus group to improve women specific personal protective equipment	participating in a focus group to improve women specific personal protective equipment Yes	participating in a focus group to improve women specific personal protective equipment No

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* 8. I give Helga Wear permission to contact me regarding product development, field testing, and focus groups to help improve women's safety wear and field gear

Name

Email Address