Personal Protective Equipment Inventory and Need Count
The purpose of this survey is to gather information about personal protective equipment (PPE) needs and availability across agencies. The responses in this survey will be placed into a PPE Inventory Database on a Google Sheet that is accessible by all agencies to help you make decisions regarding PPE. We hope you will take a couple of minutes to fill in the survey.

More information about PPE can be found here: https://www.albertahealthservices.ca/ipc/hi-ipc-routine-practices-info.pdf
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1. What is your name and what agency/programs are you with?
2. Please list the number of PPE you have in stock for you agency:
2a. Hand Sanitizer (indicate number of bottles or litres)
2b. n95 Masks
2c. Procedure Masks
2d. Gloves (pairs)
2e. Disinfectant Wipes
2f. Gowns
2g. Shoe Covers
2h. Protective Eyewear
2i. Face Shields
3. Please list the number of PPE supplies you may need more of in the next month:
3a. Hand Sanitizer (indicate number of bottles or litres)
3b. n95 Masks
3c. Procedure Masks
3d. Gloves (pairs)
3e. Disinfectant Wipes
3f. Gowns
3g. Shoe Covers
3h. Protective Eyewear
3i. Face Shields
4. Is there any other PPE you have in stock or need (list how many)?
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