Hospital Maintenance Study Pre-screener to be considered Question Title * 1. Contact Information Name Social Media Link City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. Please can you tell me which of the following healthcare organisations you work in? Long-term care facility e.g. nursing home Ambulatory care e.g. community health centre, clinic, outpatient services Hospice Acute care hospital(s) Other I do not work in a healthcare organisation OK Question Title * 3. What is your job role in the acute care hospital(s)? OK Question Title * 4. Does your role involve or cover any of the following aspects of environmental decontamination? (select all that apply) Infection control Cleaning None OK Question Title * 5. If your role involves both infection control and cleaning, which of the two forms the larger part of your role? If your role does not involve both, please select the same answer as in the previous question. Infection control Cleaning Both equally None/Not applicable OK NEXT
