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Occupational Safety Culture Questionnaire (Community)
We are conducting a survey on occupational safety culture. The information you provide would be very important for us to understand the overall safety culture levels of individuals, organizations and communities. This survey is anonymous and will take only a few minutes to complete. Your information will be kept strictly confidential.
Thank you very much for your participation!
Part 1 Screening target participants
Q1.
Our interview targets are those citizens aged 16 years old or above. Are you already 16 years old?
Please answer this question
Yes
No (Thank you and no need answer the questions)
Q2.
Please indicate your status in the past 7 days.
Please answer this question
Full time employment
Part time employment
Self-employment
Unemployed
Housewife
Student
Retired/others
Part 2 Questionnaire contents
Absolutely not concern
More or less the same
Strongly concern
Do you concern about the following OSH issues?
0
5
10
Q3.
Traffic accidents
Please answer this question
Q4.
Outbreak of epidemics (e.g. Avian Flu, Enterovirus, etc)
Please answer this question
Q5.
Air quality
Please answer this question
Q6.
Occupational injuries (e.g. trapped in machine, chemical burns, slip and trip)
Please answer this question
Q7.
Occupational diseases (e.g. Pneumoconiosis, Streptococcus suis)
Please answer this question
Q8.
Food Safety
Please answer this question
Q9.
Mental illnesses
Please answer this question
Q10.
Cancers
Please answer this question
Q11.
Cardiovascular diseases (e.g. stroke)
Please answer this question
Poor improvement
More or less the same
Great improvement
0
5
10
Q12.
In the past year, the occupational accident and occupational disease statistics were
Please answer this question
Q13.
In the past year, the work safety condition among the employees in the region was
Please answer this question
Q14.
In the past year, the OSH law enforced by the government was
Please answer this question
Q15.
In the past year, the promotion of OSH by the government was
Please answer this question
Q16.
In the past year, your OSH knowledge was
Please answer this question
Q17.
In the past year, the OSH awareness of citizens was
Please answer this question
Strongly disagree
No comment
Strong agree
0
5
10
Q18.
I think most of the occupational accidents and occupational diseases are preventable.
Please answer this question
Q19.
Government and statutory bodies are responsible for the promotion of OSH.
Please answer this question
Q20.
Stretching exercises are the most effective means to prevent musculoskeletal discomforts induced by office works.
Please answer this question
Q21.
Employers should take up the greatest responsibility in OSH
Please answer this question
Never
Sometimes
Always
In the past 12 months
, did you
0
5
10
Q22.
hear or watch OSH information from different information channels? (e.g. TV, radio, newspaper)
Please answer this question
Q23.
keep informed about different kinds of OSH promotion or activities organized by the government and statutory bodies? (e.g. exhibition, OSH competition, OSH sponsorship program)
Please answer this question
Part 3 Demographic information
Q24.
Please indicate your age range.
Please answer this question
16-19
20-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70 or above
Q25.
Please indicate your type of residence.
Please answer this question
Public housing
Private building
Others (please specify):
Q26.
Please indicate your gender.
Please answer this question
Male
Female
Q27.
Please indicate your education attainment.
Please answer this question
Primary or below
Secondary / High School
Associate Degree / Diploma
Degree
Master Degree / Doctoral Degree
Q28.
Please select your country / region.
Please answer this question
--Please Select--
Afghanistan
Albania
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
Ecuador
Egypt
EL Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands Malvinas
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong, China
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Rep. of
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Rep.
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau, China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue Island
Norfolk Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Republic of Montenegro
Republic of Serbia
Reunion
Romania
Russian Federation
Rwanda
Saint Lucia
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts-Nevis
St Vincent
St. Helena
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
The Federated States of Micronesia
The Form. Yugoslav Rep. of Macedonia
The Marshall Islands
Timor Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
Unite Arab Emirates
United Kingdom
United States
United States Virgin Islands
Uruguay
Uzbekistan
Other
No answer
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Questionnaire is finished. Thank you very much for your participation!
Your Occupational Safety Culture Index (Community) is : 0
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