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Justice For Janitors COVID-19 Delta Variant Survey
Name and contact information for internal use only. All answers will be anonymous.
OK
1.
What TYPE OF SITE do you clean - hospital, retail, mall, commercial real estate, stadium, etc?
2.
Do you feel your Janitorial Company is providing you with enough proper PPE to do the job safely - masks, gloves, disinfectant?
Yes, we get enough proper PPE.
No, we do NOT get enough proper PPE.
3.
Do you feel your Janitorial Company is providing you with up-to-date INFORMATION about the COVID-19 DELTA variant?
Yes, my company is providing us with up-to-date information.
No, my company is NOT providing us with up-to-date information.
Other (please specify)
4.
Do you feel your Janitorial Company is providing you with up-to-date TRAINING on working safely during the COVID-19 Delta variant?
Yes, my company is providing us with up-to-date training!
No, my company is NOT providing us with up-to-date training!
Other (please specify)
5.
As a Janitor / Custodian, HOW SAFE do you feel at work during the Delta variant?
I feel VERY safe at work.
I feel SAFE at work.
I feel UNSAFE at work.
I feel VERY unsafe at work.
6.
Do you feel your Janitorial Company cares about your health & safety on the job?
Yes, I believe my janitorial company cares about my health & safety at work.
No, I do not believe my janitorial company cares about my health & safety at work.
7.
Does your Janitorial Company provide PAID TIME OFF to Janitors / Custodians to get vaccinated?
Yes, my Janitorial Company provides paid time off to officers to get vaccinated.
No, my Janitorial Company does NOT provide paid time off to officers to get vaccinated.
Other (please specify)
8.
Did you get vaccinated against COVID-19?
Yes, I got the vaccine.
Not yet, but I plan on getting the vaccine.
No, I did NOT get the vaccine & do not plan on getting it.
9.
If you did NOT get the vaccine, why did you decide not to:
I am nervous to get the vaccine injection.
I do not have the time-off or money to take the time-off to go get vaccinated.
I do not trust the vaccine.
I do not think the virus is a big deal or threat to my health.
I am waiting to see how the vaccine does before I decide to take it.
I do not know where / how to get vaccinated.
Other (please specify)
10.
Do you think Employers / Worksites should make the vaccine mandatory?
Yes, I think the vaccine should be mandatory.
No, I do NOT think the vaccine should be mandatory.
11.
Contact Info & Cell phone for Text Updates!
*If you provide your cellphone & email, we'll keep you updated!
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Name
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address
Phone Number
Current Progress,
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