Carroll County Emergency Services PPE Survey
Please complete the survey daily by 1700 hours, so we can determine and predict the daily burn rate of PPE in Carroll County. When entering in N-95, Gloves, and Procedure Mask please only enter the number of full unopened boxes you have in stock for your department. When entering Gowns, and Face Shields, please enter in the individual number of each item
Email address *
Date of Survey:
MM
/
DD
/
YYYY
Time of Survey:
Time
:
Person Completing Survey:
Your answer
Representing which Department in Carroll County:
Estimate the number of Days of PPE you have on hand in your Station:
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