Radiation Safety Survey
| Question | Answer |
|---|---|
| At what type of institution are you currently employed? | (A) Academic, (B) Community, (C) Government, (D) Other |
| Is institution you currently work at inside United States? | Yes or no |
| How long have you worked at this institution? | (A) <1 y, (B) 1–5 y, (C) 5–10 y, (D) >10 y with reference category set as D |
| Are you currently in charge of radiation safety program at your institution? | Yes or no |
| Do you request dosimetry reports for employees who work at multiple institutions? | Yes or no |
| Do you have any other comments or concerns regarding radiation exposure that you would like to share? | (Open for free text) |
| If you are open to discussing your institution-specific policies, please leave your contact information below. | (Open for free text) |