Health & Safety Campaign Feedback Form

Thank you for participating in our Health & Safety Campaign. Your feedback is crucial in assessing the effectiveness of our initiatives. Please take a moment to share your thoughts and suggestions to help us create safer environments together.

I. Demographic Information

Name (Optional):	[Participant's Name]
Department/Team:	[Department/Team]
Job Title/Role:	[Job Title/Role]
Employee ID (Optional):	[Employee ID]
Age:	[Age]
Gender:	[Gender]
Years of Experience:	[Years of Experience]

II. Campaign Awareness

A. How did you first learn about the Health & Safety Campaign?

• Email

• Intranet/Company Website

• Posters

• Team Meetings

• Other (Specify):                               

B. Rate the clarity of the campaign messages:

• Very Clear

• Clear

• Neutral

• Unclear

• Very Unclear

III. Relevance of Information

A. Rate the relevance of the health and safety information presented:

• Highly Relevant

• Relevant

• Neutral

• Irrelevant

• Highly Irrelevant

B. Which specific topics or messages from the campaign did you find most relevant or impactful?

The emphasis on ergonomic practices resonated with me, especially the importance of proper desk setups. It prompted me to make immediate changes to enhance my workspace and prioritize my well-being.

IV. Behavioral Changes

A. Have you made any changes to your daily work habits or routines as a result of the Health & Safety Campaign?

• Yes

• No

B. If yes, please describe the changes you've made:

I now take regular breaks to stretch and walk, following the campaign's advice. This has significantly reduced my discomfort and improved my focus during work.

V. Effectiveness of Communication

A. Rate the effectiveness of the campaign communication channels (e.g., emails, posters, presentations):

• Very Effective

• Effective

• Neutral

• Ineffective

• Very Ineffective

B. Were the communication materials (posters, emails, etc.) easy to understand and follow?

The majority were easy to understand, but some technical terms could be simplified for broader comprehension. Overall, the communication was clear and accessible.

VI. Overall Evaluation

A. Overall, how would you rate the Health & Safety Campaign?

• Excellent

• Good

• Average

• Below Average

• Poor

B. What aspects of the campaign did you find particularly effective or ineffective?

The interactive workshops were highly effective, fostering engagement. However, the timing of some email communications felt rushed and could be improved for better absorption.

VII. Suggestions for Improvement

What suggestions do you have for improving future health and safety campaigns?

Consider incorporating real-life case studies to make the content more relatable. Additionally, interactive webinars could enhance engagement and provide a platform for Q&A sessions.

VIII. Additional Comments

Please provide any additional comments or feedback you have about the Health & Safety Campaign:

I appreciate the initiative and the positive impact it has had on our workplace culture. Continued emphasis on mental health and regular updates would be beneficial.

IX. Contact Information (Optional)

If you would like to discuss your feedback further, please provide your contact information:

Name:	[Participant's Name]
Name:	[Participant's Name]
Name:	[Participant's Name]

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