Survey of Audiologists and Industrial Hygienists – Hearing Loss Prevention Program Management
1) Rate how well your formal education enables you to provide occupational hearing loss prevention services. Rate your answer on the range from 1 (
did not prepare at all) to 5 (prepared me very effectively)
1
2
3
4
5
2) In my present position, I provide occupational hearing loss prevention services:
0% of my time
25%
50%
75%
100% of my time
3) I feel confident that I can conduct or supervise:
Yes
No
Don't Know
Noise surveys
Audiometric monitoring
Worker education and training
4) If you wanted more information about hearing loss prevention programs, how would you prefer to get it?
A) workshop/seminar/class
B) written materials
C) computer based (web or CD-ROM)
5) For what topics would you like more information available? (Check all that apply and fill out Other if wanted)
A) noise surveys
B) audiometric monitoring
C) worker education and training
D) Non-occupational hearing loss prevention
E)other topic
6) Which field best describes your work?
A) Audiology
B) Industrial Hygiene
C) Safety Professional
D) Physician
E) Nurse
F) Other
