Breathe Safe- Questionnaire Question Title * 1. Clinic Information Clinic Name Manager Email Address Question Title * 2. Have you already had Breathe Safe at your location before? Yes No I don't know Question Title * 3. If Yes, how many employees need testing as of now? If No, how many employees will need initial testing? Question Title * 4. What days and time of the week work best for your team? *We ask that staff be grouped as much as possible. BreathSafe will usually provide a few fit test sessions per appointment, depending on the number of staff. * Monday Tuesday Wednesday Thursday Friday Question Title * 5. Can you make a room available for the testing session? Yes No Question Title * 6. Are there individuals with facial hair who will be testing? Yes No Submit response >>
