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Please fill out and submit this form to participate in our Workplace Survey and enter for your chance to win a digital radon monitor.
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English (US)
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1
Has your workplace tested for radon?
(please answer this about workplaces other then work from home spaces)
Yes, recently
Yes, but it was some time ago
No
I do not know
Other
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2
If you are working from home, have you tested your work from home space?
Yes
Not yet
Other
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3
What type of workplace are you in:
Nuclear Facility
Hospital
Health Practitioner (non-hospital)
Office Building
Mining
University/College/Educational
Federal Government
Provincial Government
Other
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4
What were the result?
My workplace was above the guideline levels
My workplace was below the guideline levels
I do not remember the results
My work place did not share the results with me
Other
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5
Did your workplace need to mitigate?
Yes, my workplace took actions to mitigate
My workplace is in the process of mitigation now/waiting for contractors to be available
Mitigation was not required as the level was low
I do not remember
Other
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6
Has your work place ever participated in radon awareness activities?
Yes, activities included posters or mentions of radon in company newsletters or communications
Yes, there were information session for employees
No
Other
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7
As a radiation protection professional, have you worked to raise radon awareness in your workplace?
Yes
No, but I would be interested in receiving resources to help me do so
No, and I am not interested in doing so
Other
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8
Please tell us what you did to raise awareness
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9
What province/territory are you in?
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Please Select
Please Select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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10
Any other information or feedback you would like to provide.
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11
Would you like to enter for a chance to win a free digital radon detector valued at $199.95?
YES
NO
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12
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