HHI Healthcare Workers Kit Survey Thank you for receiving the Healthcare Worker Kit from Heart to Heart International! Our goal is to provide healthcare workers with tools to be better prepared to provide care if a disaster impacts your local community. We intend to continue distributing these kits to other healthcare workers and would appreciate your feedback! Please take a few minutes to help us understand the benefits of this kit and/or how we can improve it. Question Title * 1. What is your role in the healthcare field? Community Health Worker Mental Health Provider Nurse (RN, LPN, MA) Medical Provider (MD, DO, PA, NP) Other (please specify) Question Title * 2. What is your gender? Female Male Transgender Woman Transgender Man Non-Binary Prefer not to say Question Title * 3. What is your Race/Ethnicity? American Indian/Alaska Native Asian/Pacific Islander Black/African American Hispanic/Latino White/Caucasian Prefer not to say Question Title * 4. How long have you been in the healthcare workforce? Less than 1 year More than 1 year Question Title * 5. Have you ever been personally impacted by a disaster? Yes No Question Title * 6. Where did you receive this kit? Name of Health Facility City State Question Title * 7. With the Healthcare Workers Kit in hand, do you feel better prepared to continue to provide care if a disaster impacts your local community? Did not help my feeling or preparedness Slightly increased my feeling of preparedness Helped me to feel more prepared Greatly increased my feeling of preparedness Did not help my feeling or preparedness Slightly increased my feeling of preparedness Helped me to feel more prepared Greatly increased my feeling of preparedness Question Title * 8. Please help us understand how useful each item was This item helps me feel more prepared for a disaster This item does not help me feel more prepared for a disaster Backpack Backpack This item helps me feel more prepared for a disaster Backpack This item does not help me feel more prepared for a disaster Basic First Aid Kit Basic First Aid Kit This item helps me feel more prepared for a disaster Basic First Aid Kit This item does not help me feel more prepared for a disaster DripDrop/Hydration Salt Packets DripDrop/Hydration Salt Packets This item helps me feel more prepared for a disaster DripDrop/Hydration Salt Packets This item does not help me feel more prepared for a disaster N95 Masks N95 Masks This item helps me feel more prepared for a disaster N95 Masks This item does not help me feel more prepared for a disaster Gloves Gloves This item helps me feel more prepared for a disaster Gloves This item does not help me feel more prepared for a disaster Seatbelt Cutter/Window Breaker Emergency Escape Tool Seatbelt Cutter/Window Breaker Emergency Escape Tool This item helps me feel more prepared for a disaster Seatbelt Cutter/Window Breaker Emergency Escape Tool This item does not help me feel more prepared for a disaster Multi-Tool Multi-Tool This item helps me feel more prepared for a disaster Multi-Tool This item does not help me feel more prepared for a disaster Emergency Whistle Emergency Whistle This item helps me feel more prepared for a disaster Emergency Whistle This item does not help me feel more prepared for a disaster LED Headlamp LED Headlamp This item helps me feel more prepared for a disaster LED Headlamp This item does not help me feel more prepared for a disaster Insect Repellant Insect Repellant This item helps me feel more prepared for a disaster Insect Repellant This item does not help me feel more prepared for a disaster Universal Charging Cable Universal Charging Cable This item helps me feel more prepared for a disaster Universal Charging Cable This item does not help me feel more prepared for a disaster Question Title * 9. Are there any items that you would suggest adding to the kit? Question Title * 10. Are there any items that you would suggest removing from the kit? Question Title * 11. Is there any additional feedback positive or negative you would like to share with us? Done
