Survey form

In 1986, the National Geographic Society, in cooperation with the MoneU Center, conducted a worldwide survey of the sense of smell. Over 10 million survey forms were sent to readers of the Society s journal, of which close to 1.5 million forms were completed and returned. With responses to 40 demographic and 42 odor-related questions, the results constitute the largest set of data on human olfaction (4). 

In designing a survey form, consult with people in your company s data processing department, who can help build in tabulation requirements on the front end. Make sure they understand that responses may be qualitative as well as quantitative and ask for advice on structuring the questionnaire to facilitate consolidating results. 

A survey form was sent to every manager and supervisor. The survey sought information on ... 

To simplify this task it is an advantage if there is a set format prepared on the survey forms for specific types of plant and equipment. This enables the surveyor to enter the relevant information against the appropriate elements (e.g. manufacturer volts amps bearings etc.). 

More and more chemically sensitive people contacted us when they became aware of our efforts, so we decided to form a group. We persuaded the Capital Regional District health officer to back us up in a survey to establish there was a population of people here with environmental illness. We thought there might be twenty-five or so people. But we heard from people way up-island and in the interior and Vancouver. We stopped at two hundred and fifty. Many wrote on their survey forms, You mean I m not the only one ... 

The distribution of contamination on the body and other relevant information (e.g., locations of wounds) should be recorded. Administrative information that should also be recorded includes the patient s name the name of the individual conducting the survey the time, date, and location of the survey, and the serial number and type of instrument. A survey form with a diagram of an anatomical figure (Standard Form 531) is available from the U.S. General Services Administration s web site (http //www.gsa.gov/forms/medical.htm) and is suitable for this purpose. 

Sparrow, S., Balia, D., and Cicchetti, D. Vineland Adaptive Behavior Scales Interview Edition Survey Form. Circle Pines, MN American Guidance Service, Inc. 

The SOP and the protocol are the foundation of the validation process. The next step is to identify all the existing computer systems. One means of accomplishing this task is to send a survey form to all managers requesting information about computers used in their departments. Once this initial data is collected and analyzed, it is prudent to walk the buildings, room by room, blueprint in hand, to verify the information. 

Participant I think year 2000 is again the year for surveying all women chemists, am I not right So when you get that survey form, please answer it, buy the book, and use it when you go to your dean, or your supervisor, or your director. 

OPS (Office of Price Stabilization), Survey form S-12, and CPR 22, Amendment 4 to Suppl. 

To ensure a timely response, OTA mailed identical survey packages to two contacts at the company manufacturing each drug, Each package contained a cover letter, a description of OTA s project and its advisory panel membership, a project fact sheet, a return envelope, and survey forms for each drug in the sample developed by that company. OTA made two followup calls to contacts that did not return their surveys. OTA received usable responses for all but two drugs-one antihypertensive and one NS AID (both from the 1978-83 period) for an overall response rate of 96 percent. 

Prior to entry into the area, intelligence assets shall provide the NATO operational and local commanders with suspected areas that contain TICs. The intelligence community shall endeavor to obtain all pertinent information involving production and storage facilities of TICs. At a minimum the type of TICs and quantities at each location shall be provided to the Commander. Additionally, there is a need for Commanders to be informed on the specific risk (fire, explosion, toxicity, corrosive effects, and persistency of gas) as well as the efficiency of collective and individual protection systems. Intelligence assets should query the appropriate scientific, civilian industrial and chemical warfare treaty experts in order to gather all applicable information. When possible, local industrial site survey forms shall be obtained for all identified sites. 

Some special parameters (e.g., flash point, heating value, water content) must be determined for wastes that are to be disposed of or thermally utilized by combustion. All data for a given waste are documented in a multi-page survey form. The plant manager is responsible for the correctness of the information. After thorough checking, including a check for completeness of analysis data, the necessary pretreatment and the... 

Many of the questions in the survey forms are of a stated-preference nature. In some of these questions, respondents were asked to choose one answer from a given list. In some other questions, respondents were requested to choose all applicable answers from a given list. In the analysis of the results of the former set of questions, the authors will refer to the answers in terms of number of respondents, with the total number of respondents equal to the sample size. However, in the analysis of the second set of questions, the authors will refer to the answers in terms of nmn-ber of responses, which exceeds the sample size. 

Figure 12.5 illustrates that good job opportunities that require specialization in EnE at the recruiter groups listed in Q9 of the survey form (Appendix A) would... 

Some 121 firms completed the survey forms, for a sample response rate of 53 percent. The survey consists of 11 sections, covering the general safety record of the company, company and employee characteristics, management culture, human resource practices, safety practices, and safety consultation programs provided by the Minnesota Occupational Safety and Health Administration (MNOSHA) consultation unit. Table 2.1 summarizes the question items included in the 22-page survey. These 121 firms have matched with about 5,125 workers compensation indemnity claims for the years 1990 through 1998— that is, the claims were filed by workers of those 121 firms. Federal employer identification numbers were only available for about 10 percent of fire sample and have proven to be unreliable for matching. Hence, we used the name of... 

In mid-1922, the MICC requested and obtained fi om the IG its final sets of plant survey forms and questionnaires. In some cases it also requested follow-up information, which IG firms also supplied. The information covered explosives (nitrocellulose and nitroglycerine propellants, TNT, picric acid, and a host of other nitrogenous substitute high explosives), as well as the principal chemical warfare agents. 

Visual condition surveys require the use of GPS facility and the use of survey forms and distress identification manual. Table 16.1 provides some details on the type of distresses to be recorded during a visual condition survey of flexible pavements carried out by the Highway Engineering Laboratory of the Aristotle University of Thessaloniki (AUTh). 

A total of 987 questioimaires were distributed to 44 randomly selected vessels, of which 41 vessels returned atotal of768 completed questionnaires. This gives a vessel response rate of 93% and an individual response rate of 78%. AU vessels were flying a flag listed on the Paris MOU white or grey Ust. This survey forms part of a major safety culture survey carried out in 2006, performed with a vaUdated instrument (Oltedal, Engen, 2008). 

Once the survey forms were received electronically, they were analyzed using Rating, Borda Count, and AHP methods (Activity 3 of Figure 7.13). Detailed descriptions of these three Ranking methods are available in Chapter 6, Section 6.3. 

CHEMTREC must be advised about drills as early as possible to allow for scheduling. CHEMTREC must also be advised if the drill is canceled or postponed for any reason, so that any special scheduling can be changed. The Center sends out a brief survey form after a drill to evaluate their performance and to obtain feedback on ways to improve their service. Further information is available by contacting the Senior Staff Assistant at 1-703-741-5525, or by fax or e-mail. 

I (a) Basic requirement. If you receive OSHA s annual survey form, you must fill it out and send it to OSHA or OSHA s designee, as stated on the survey form. You must report the following information for the year described on the form ... 

I (b) Implementation. (1) Does every employer have to send data to OSHA No, each year, OSHA sends injury and illness survey forms to employers in certain industries. In any year, some employers will receive an OSHA survey form and others will not. You do not have to send injury and illness data to OSHA unless you receive a survey form. 

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