[survey]
A survey, distributed to every occupied room in the hotel.
Dear Occupant,
Please complete this survey and return it to the front desk. The data provided will be used in case of emergency, as well as in the compilation of a directory. Anyone with medical training is encouraged to also complete the attached "Medical Staff" section of the form; in the event that such expertise is required, this information will expedite matters.
Demographics
Name:
Origin: [city, state/province where applicable, country]
Occupation:
Additional training and skills:
Any other information you wish shared:
Emergency contact [at the hotel]:
Do you object to being included in a public hotel directory?
Where were you before arriving at the hotel? Be as specific as possible. Please provide a country.
What was the date and the time? Again, be as specific as possible. Please provide a year.
Details of your arrival:
Hotel residents known to you before arrival:
Medical Staff
Area(s) of specialisation/training:
Applicable skills and equipment possessed:
Details/other information:
Are you available in case of emergency?
Do you object to being included in an "emergency contact" directory at the front desk?
Dear Occupant,
Please complete this survey and return it to the front desk. The data provided will be used in case of emergency, as well as in the compilation of a directory. Anyone with medical training is encouraged to also complete the attached "Medical Staff" section of the form; in the event that such expertise is required, this information will expedite matters.
Demographics
Name:
Origin: [city, state/province where applicable, country]
Occupation:
Additional training and skills:
Any other information you wish shared:
Emergency contact [at the hotel]:
Do you object to being included in a public hotel directory?
Where were you before arriving at the hotel? Be as specific as possible. Please provide a country.
What was the date and the time? Again, be as specific as possible. Please provide a year.
Details of your arrival:
Hotel residents known to you before arrival:
Medical Staff
Area(s) of specialisation/training:
Applicable skills and equipment possessed:
Details/other information:
Are you available in case of emergency?
Do you object to being included in an "emergency contact" directory at the front desk?