Personal Protective Equipment Inventory and Need Count
The purpose of this survey is to gather information about personal protective equipment (PPE) needs and availability across agencies. The responses in this survey will be placed into a PPE Inventory Database on a Google Sheet that is accessible by all agencies to help you make decisions regarding PPE. We hope you will take a couple of minutes to fill in the survey.

More information about PPE can be found here: https://www.albertahealthservices.ca/ipc/hi-ipc-routine-practices-info.pdf
1. What is your name and what agency/programs are you with?
Your answer
2. Please list the number of PPE you have in stock for you agency:
2a. Hand Sanitizer (indicate number of bottles or litres)
Your answer
2b. n95 Masks
Your answer
2c. Procedure Masks
Your answer
2d. Gloves (pairs)
Your answer
2e. Disinfectant Wipes
Your answer
2f. Gowns
Your answer
2g. Shoe Covers
Your answer
2h. Protective Eyewear
Your answer
2i. Face Shields
Your answer
3. Please list the number of PPE supplies you may need more of in the next month:
3a. Hand Sanitizer (indicate number of bottles or litres)
Your answer
3b. n95 Masks
Your answer
3c. Procedure Masks
Your answer
3d. Gloves (pairs)
Your answer
3e. Disinfectant Wipes
Your answer
3f. Gowns
Your answer
3g. Shoe Covers
Your answer
3h. Protective Eyewear
Your answer
3i. Face Shields
Your answer
4. Is there any other PPE you have in stock or need (list how many)?
Your answer
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