Johnson School Hand Sanitizer Survey Ms. Teed's fourth grade class wants a healthier, more germ free school. We would like to put up hand sanitizer dispensers. We would like to know your perspective about installing dispensers. Thank you in advance for completing this survey. Question Title * 1. Are you a: Male (boy) Female (girl) Question Title * 2. Are you a: Student Teacher Question Title * 3. What grade are you in? Fourth Grade Fifth Grade Other (please specify) Question Title * 4. Who is your homeroom teacher? Ms. Teed Ms. Donohue Ms. Bianco Ms. Quader Ms. Wicklund Ms. Schrader Ms. Gerety Ms. Gallaer Ms. Toigo Ms. Gore Mr. Reid Ms. Liquori Ms. Zafrin Ms. Galante Mr. Moscowitz Mr. Correia Ms. Arvidson Ms. Esposito Mr. DiSalvo Ms. Mancini Question Title * 5. How frequently do you wash your hands each day? Never Infrequently Sometimes Often I'm obsessed with clean hands Question Title * 6. How frequently do you use hand sanitizer? Never Infrequently Sometimes Often I'm obsessed with hand sanitizer Question Title * 7. If hand sanitizer dispensers were available, would you clean your hands more frequently? Yes No Maybe So Question Title * 8. Do you think we should have hand sanitizer dispensers in the hallways? Yes No Maybe So Question Title * 9. Where do you think we should place hand sanitizer dispensers? Check all that apply. Inside the cafeteria Outside the cafeteria In the gym In every classroom In the lobby In the first floor hallway In the second floor hallway Near the music rooms Near the playground In the computer lab Outside the bathrooms Outside the nurse's office Other (please specify) Question Title * 10. What type of hand sanitizer do you prefer? (If you prefer more than one, check more than one) Purell Nielson Lysol Carabinea Kutol Avant Germ X Hand Clean Dial Hands To Go Other (please specify) Question Title * 11. Do you have any other thoughts on hand sanitizer dispensers you would like to share? Next