Assessment
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N95/PPE Questionnaire (Defense Logistics Agency)
Name *
Your answer
Company Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Facility Zip Code(s)? *
Your answer
Do you currently produce NIOSH certified N95 masks? *
Estimated N95 production capacity daily? Weekly? *
Your answer
Do you produce any other NIOSH/OSHA certified personal protective equipment (PPE)? *
Estimated PPE production capacity per item? *
Your answer
What else do you currently produce? *
Your answer
What could you make after retooling? 0r N/a. *
Your answer
Estimated time to re-tool & reach capacity? 0r N/a. *
Your answer
What, if any, barriers to increased production capacity are you experiencing? Please detail required resources necessary to reach maximum capacity and/or deliver new products to market. *
Your answer
Do you have a preferred distribution method? *
Required
If yes to above, who does your distribution? 0r N/a. *
Your answer
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