Questionnaire sample

A. Standardized Safety Questionnaire Sample Safety and Training Survey... 

Some companies have more detailed forms for the site visit. One example of an assessment questionnaire is provided in Appendix A, Sample Toller Pre-Assessment Qjiestionnaire. 

Companies evaluating tollers should modify the examples in this book to best meet their needs. Tollers may gain insight by comparing the examples to questionnaires that they have completed previously. Additional samples of assessment forms are provided in the appendices. 

The extent to which documents are reviewed will depend upon the results of the initial questionnaire responses, the interviews, and facility walk-around. In general, documents should be reviewed to verify good practice compliance, and a sampling will usually suffice. 

IWo basic types of questionnaires can be used yes/no or open-ended. A sample yes/no questionnaire is provided in Figure 4-6 Figure 4-7 displays an open-ended version. The yes/no questionnaire confirms the existence of specific PSM program components or management system characteristics, while an open-ended questionnaire requires an explanation of the response and can be used to invite discussion. Yes/no questionnaires can be filled out by the facility or can be administered by less experienced assessors. Open-ended questionnaires require more experienced assessors, who are equipped to guide discussion and probe for further information. 

FIGURE 7-3. Sample Pilot Task Feedback Questionnaire... 

A series of interviews and questionnaires was given to a sample from each group to address the following issues ... 

In most studies, phytoestrogen intake has been estimated by direct methods that evaluate food intake either by recall (food-frequency questionnaires -FFQs) or by record (food diary), and subsequently by composition databases based on information of this kind. Food-frequency questionnaires are widely administered to subjects involved in epidemiological studies. Their validity and reproducibility is considered sufficient when statistically correlated to data obtained from dietary records (a properly-completed and comprehensive food diary) and from analysis of blood and urine samples (Kirk et ah, 1999 Huang et al, 2000 Yamamoto et al, 2001 Verkasalo et al, 2001). FFQs can be repeated several times a year and may be administered to large populations. Such an approach provides an easy and low-cost method of assessing the... 

Without a comprehensive database, pharmacy workforce studies have relied on surveys based on sampling, census questionnaires, and modeling. The last national count of pharmacists was attempted in the early 1990s [55] and did not account for the opening of new schools (eight were founded between... 

In Greece, a case-control study was conducted to investigate the incidence of liver cancer by estimating the consumption of six types of flavonoids with a semiquantitative questionnaire on the frequency of foods. The intake of flavones was inversely associated with hepatocellular carcinoma, irrespective of its etiology (viral or nonviral). With respect to cholangiocarcinoma, an inverse association with the consumption of flavan-3-ols, anthocyanidins, and total flavonoids studied was found. However, this last result should be viewed with caution because of the small sample size, due to the fact that this is a rare type of cancer (Lagiou and others 2008). 

Windom HL (1979) Report on the Results of the ICES Questionnaire on Sampling and Analysis of Water for Trace Elements, Submitted to the First Meeting of the Marine Chemistry Working Group, Lisbon... 

Gathering audit data can be accomplished through observations, documents, and interviews. The data obtained is used to verify and validate that the process safety management systems are implemented and functioning as designed. Data gathering can be aided oy the use of audit samples, where a representative number of items are audited to draw a conclusion, and by using self-evaluation questionnaires. 

A market research firm administered by telephone, to each customer in the sample, a questionnaire. Interviewers introduced themselves as calling to solicit participation in a study of processed metal vendors. 

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