Southern Region EMS Council Inc.
Injury Prevention and Retention Survey
Please complete this survey to the best of your ability. All responses are anonymous.
1.
What region do you serve?
Alaska, Southern
Alaska, Southeast
Alaska, Yukon-Kuskokwim
Alaska, North Slope
Alaska, Interior
Alaska, Maniilaq
Alaska, Norton Sound
Other (please specify)
2.
Type of service:
Volunteer municipal or borough
Volunteer non-incorporated
Municipal or borough
Other paid EMS
Other (please specify)
3.
Responder type (Choose your most frequent response type):
Firefighter
Law Enforcement
Emergency Medical Services
Clinic
Other (please specify)
4.
How many years have you served as a first responder?
0-1
2-3
3-5
5-10
10+
*
5.
Has an injury, illness, or stress from work caused you loss of sleep or other impairment?
(Required.)
Yes
No
Current Progress,
0 of 52 answered
