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Blue-Collar Work Exposure Survey

1.How often are you exposed to potential work hazards?
2.Which of the following are you regularly exposed to at work? (Choose all that apply)
3.About how long are you exposed during a typical shift?
4.Where do exposures usually occur?
5.When PPE is recommended, how often do you actually wear it?
6.Main reason PPE is not worn consistently (check all that apply)
7.Who usually decides when PPE is required on your job?
8.When deciding whether to stop work for safety or health, what matters most?
Work Exposures & Symptoms
9.Do you experience symptoms related to your work exposures?
10.Do symptoms improve when you are off work for several days?
11.Do symptoms worsen during or after specific tasks?
12.If yes, which tasks cause worsening symptoms?
13.How long have these symptoms been present?
Healthcare Access
14.Have you ever avoided medical care because of your work schedule?
15.Biggest barriers to seeing a provider?
16.Have you ever felt a provider dismissed your work-related health concerns?
17.Has any provider discussed occupational exposures as a health risk with you?
Work Related Illness
18.Have you ever worked through symptoms you knew were not normal?
19.Have you ever been diagnosed with a illness that was related to your occupational exposures1?
20.If yes, please list illness below.
21.Were you working in the same trade when you were diagnosed?
Healthcare Information
22.Where do you trust health information the most?
23.Would you be more likely to seek care if it was:
24.Is there anything about your job that worries you about your long-term health?