Survey: attitudes of Latrobe Valley healthcare workers towards environmental determinants of health
Please complete only if you're a healthcare worker living or working in the Latrobe Valley

11 questions in total. By Healthy Futures ( www.healthyfutures.net.au )
Section 1: Air pollution
Do you think that air pollution in the Latrobe Valley is currently affecting people’s health?
Clear selection
Why is this your answer?
Would you be interested in collaborating with other healthcare workers to advocate to reduce air pollution in the Valley?
Clear selection
Would you like more information on this topic?
Clear selection
Section 2: Climate change
Do you think climate change is currently affecting the health of people in the Latrobe Valley?
Clear selection
Why is this your answer?
Do you think climate change is likely to affect the health of people in the Latrobe Valley in the future?
Clear selection
Why is this your answer?
Would you be interested in collaborating with other healthcare workers in the Latrobe Valley to limit climate change and its health impacts?
Clear selection
Would you like more information on this topic?
Clear selection
Section 3: Any other comments
Do you have any other comments?
Section 4: About you
Please note all questions in this section are optional but the more information you provide the more helpful your answers will be. If you would like us to send you more information on any of the above issues or if you'd like to collaborate then we'll need your contact details:
Name
Occupation
Organisation
Best contact phone
Best contact email
For how long have you been living or working in the Latrobe Valley?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy