Health and Safety Report: Readership Survey

We want the Health and Safety Report to be a credible, relevant source of information for you. Help us deliver the information you want and need.

Please take five minutes and tell us what you think - and you could win a $100 Canadian Tire gift card.

You will need to provide your name and email if you wish to be entered into the draw.

All responses will remain confidential and your personal information will not be used for any other purpose.

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* 1. Contact information

Name:

Email Address:

More about you

It would be helpful to know more about you so we can ensure we meet your needs and better serve working populations in Canada.

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* 2. Where do you live?
[select from dropdown list]

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* 3. What is your gender?

Man

Non-binary

Woman

Prefer not to answer

Prefer to self describe:

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* 4. Please select all that apply to you:

2SLGBTQI

Indigenous

Visibly racial / visible minority

None of the above

Other (please specify)

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* 5. Do you live with a disability?

Yes

Prefer not to answer

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* 6. Do you experience barriers that prevent you from fully accessing CCOHS resources or programs, or participate in CCOHS events?

If yes, can you please tell us more?

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* 1. Contact information

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* 2. Where do you live?[select from dropdown list]

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* 3. What is your gender?

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* 4. Please select all that apply to you:

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* 5. Do you live with a disability?

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* 6. Do you experience barriers that prevent you from fully accessing CCOHS resources or programs, or participate in CCOHS events?If yes, can you please tell us more?

* 2. Where do you live?
[select from dropdown list]

* 6. Do you experience barriers that prevent you from fully accessing CCOHS resources or programs, or participate in CCOHS events?

If yes, can you please tell us more?