Tulare-Kings PPE Supply Needs Survey

The South Valley Industrial Collaborative and Tulare-Kings Healthcare Partnership, in partnership with the Workforce Investment Board of Tulare County and Kings County Job Training Office, would like to understand the availability of PPE supplies for Tulare and Kings County businesses. We are partnering to identify PPE shortages and meet them through connections with local businesses.

Please take a moment to respond to this quick survey.

	No supply remaining	1 week or less	2 weeks or less	More than 2 weeks	Not Applicable/No Need for Supply
Face Masks	Face Masks No supply remaining	Face Masks 1 week or less	Face Masks 2 weeks or less	Face Masks More than 2 weeks	Face Masks Not Applicable/No Need for Supply
N95 Masks	N95 Masks No supply remaining	N95 Masks 1 week or less	N95 Masks 2 weeks or less	N95 Masks More than 2 weeks	N95 Masks Not Applicable/No Need for Supply
Face Shields	Face Shields No supply remaining	Face Shields 1 week or less	Face Shields 2 weeks or less	Face Shields More than 2 weeks	Face Shields Not Applicable/No Need for Supply
Thermometers	Thermometers No supply remaining	Thermometers 1 week or less	Thermometers 2 weeks or less	Thermometers More than 2 weeks	Thermometers Not Applicable/No Need for Supply
Gloves	Gloves No supply remaining	Gloves 1 week or less	Gloves 2 weeks or less	Gloves More than 2 weeks	Gloves Not Applicable/No Need for Supply
Hand Sanitizer	Hand Sanitizer No supply remaining	Hand Sanitizer 1 week or less	Hand Sanitizer 2 weeks or less	Hand Sanitizer More than 2 weeks	Hand Sanitizer Not Applicable/No Need for Supply
Disinfecting Spray	Disinfecting Spray No supply remaining	Disinfecting Spray 1 week or less	Disinfecting Spray 2 weeks or less	Disinfecting Spray More than 2 weeks	Disinfecting Spray Not Applicable/No Need for Supply
Disinfecting Wipes	Disinfecting Wipes No supply remaining	Disinfecting Wipes 1 week or less	Disinfecting Wipes 2 weeks or less	Disinfecting Wipes More than 2 weeks	Disinfecting Wipes Not Applicable/No Need for Supply
Plexiglass Partitions	Plexiglass Partitions No supply remaining	Plexiglass Partitions 1 week or less	Plexiglass Partitions 2 weeks or less	Plexiglass Partitions More than 2 weeks	Plexiglass Partitions Not Applicable/No Need for Supply

No supply remaining

1 week or less

2 weeks or less

More than 2 weeks

Not Applicable/No Need for Supply

Face Masks

Face Masks No supply remaining

Face Masks 1 week or less

Face Masks 2 weeks or less

Face Masks More than 2 weeks

Face Masks Not Applicable/No Need for Supply

N95 Masks

N95 Masks No supply remaining

N95 Masks 1 week or less

N95 Masks 2 weeks or less

N95 Masks More than 2 weeks

N95 Masks Not Applicable/No Need for Supply

Face Shields

Face Shields No supply remaining

Face Shields 1 week or less

Face Shields 2 weeks or less

Face Shields More than 2 weeks

Face Shields Not Applicable/No Need for Supply

Thermometers

Thermometers No supply remaining

Thermometers 1 week or less

Thermometers 2 weeks or less

Thermometers More than 2 weeks

Thermometers Not Applicable/No Need for Supply

Gloves

Gloves No supply remaining

Gloves 1 week or less

Gloves 2 weeks or less

Gloves More than 2 weeks

Gloves Not Applicable/No Need for Supply

Hand Sanitizer

Hand Sanitizer No supply remaining

Hand Sanitizer 1 week or less

Hand Sanitizer 2 weeks or less

Hand Sanitizer More than 2 weeks

Hand Sanitizer Not Applicable/No Need for Supply

Disinfecting Spray

Disinfecting Spray No supply remaining

Disinfecting Spray 1 week or less

Disinfecting Spray 2 weeks or less

Disinfecting Spray More than 2 weeks

Disinfecting Spray Not Applicable/No Need for Supply

Disinfecting Wipes

Disinfecting Wipes No supply remaining

Disinfecting Wipes 1 week or less

Disinfecting Wipes 2 weeks or less

Disinfecting Wipes More than 2 weeks

Disinfecting Wipes Not Applicable/No Need for Supply

Plexiglass Partitions

Plexiglass Partitions No supply remaining

Plexiglass Partitions 1 week or less

Plexiglass Partitions 2 weeks or less

Plexiglass Partitions More than 2 weeks

Plexiglass Partitions Not Applicable/No Need for Supply

	Tulare-Kings Supplier	California Supplier	Out of State Supplier	Other	No Supplier
Face Masks	Face Masks Tulare-Kings Supplier	Face Masks California Supplier	Face Masks Out of State Supplier	Face Masks Other	Face Masks No Supplier
N95 Masks	N95 Masks Tulare-Kings Supplier	N95 Masks California Supplier	N95 Masks Out of State Supplier	N95 Masks Other	N95 Masks No Supplier
Face Shields	Face Shields Tulare-Kings Supplier	Face Shields California Supplier	Face Shields Out of State Supplier	Face Shields Other	Face Shields No Supplier
Thermometers	Thermometers Tulare-Kings Supplier	Thermometers California Supplier	Thermometers Out of State Supplier	Thermometers Other	Thermometers No Supplier
Gloves	Gloves Tulare-Kings Supplier	Gloves California Supplier	Gloves Out of State Supplier	Gloves Other	Gloves No Supplier
Hand Sanitizer	Hand Sanitizer Tulare-Kings Supplier	Hand Sanitizer California Supplier	Hand Sanitizer Out of State Supplier	Hand Sanitizer Other	Hand Sanitizer No Supplier
Disinfecting Spray	Disinfecting Spray Tulare-Kings Supplier	Disinfecting Spray California Supplier	Disinfecting Spray Out of State Supplier	Disinfecting Spray Other	Disinfecting Spray No Supplier
Disinfecting Wipes	Disinfecting Wipes Tulare-Kings Supplier	Disinfecting Wipes California Supplier	Disinfecting Wipes Out of State Supplier	Disinfecting Wipes Other	Disinfecting Wipes No Supplier
Plexiglass Partitions	Plexiglass Partitions Tulare-Kings Supplier	Plexiglass Partitions California Supplier	Plexiglass Partitions Out of State Supplier	Plexiglass Partitions Other	Plexiglass Partitions No Supplier

Tulare-Kings Supplier

California Supplier

Out of State Supplier

Other

No Supplier

Face Masks

Face Masks Tulare-Kings Supplier

Face Masks California Supplier

Face Masks Out of State Supplier

Face Masks Other

Face Masks No Supplier

N95 Masks

N95 Masks Tulare-Kings Supplier

N95 Masks California Supplier

N95 Masks Out of State Supplier

N95 Masks Other

N95 Masks No Supplier

Face Shields

Face Shields Tulare-Kings Supplier

Face Shields California Supplier

Face Shields Out of State Supplier

Face Shields Other

Face Shields No Supplier

Thermometers

Thermometers Tulare-Kings Supplier

Thermometers California Supplier

Thermometers Out of State Supplier

Thermometers Other

Thermometers No Supplier

Gloves

Gloves Tulare-Kings Supplier

Gloves California Supplier

Gloves Out of State Supplier

Gloves Other

Gloves No Supplier

Hand Sanitizer

Hand Sanitizer Tulare-Kings Supplier

Hand Sanitizer California Supplier

Hand Sanitizer Out of State Supplier

Hand Sanitizer Other

Hand Sanitizer No Supplier

Disinfecting Spray

Disinfecting Spray Tulare-Kings Supplier

Disinfecting Spray California Supplier

Disinfecting Spray Out of State Supplier

Disinfecting Spray Other

Disinfecting Spray No Supplier

Disinfecting Wipes

Disinfecting Wipes Tulare-Kings Supplier

Disinfecting Wipes California Supplier

Disinfecting Wipes Out of State Supplier

Disinfecting Wipes Other

Disinfecting Wipes No Supplier

Plexiglass Partitions

Plexiglass Partitions Tulare-Kings Supplier

Plexiglass Partitions California Supplier

Plexiglass Partitions Out of State Supplier

Plexiglass Partitions Other

Plexiglass Partitions No Supplier

Tulare-Kings PPE Supply Needs

Introduction

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* 1. Business Name

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* 2. Location (full address)

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* 3. Your Name

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* 4. Email Address

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* 5. Business Size

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* 6. Please indicate your estimated weekly usage of the following items.

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* 7. Please indicate your current supply for each item.

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* 8. Please indicate your supply source for the following PPE.

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* 9. Please list any additional critical PPE needs that were not identified above.

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* 10. Would you be interested in connecting to a local marketplace for PPE?

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* 11. Please share any additional thoughts or questions for us on the topic of PPE supply availability.