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Assessment
IT'S TOOL TIME!!!
N95/PPE Questionnaire (Defense Logistics Agency)
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* Indicates required question
Name
*
Your answer
Company Name
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Facility Zip Code(s)?
*
Your answer
Do you currently produce NIOSH certified N95 masks?
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Yes
No
Estimated N95 production capacity daily? Weekly?
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Your answer
Do you produce any other NIOSH/OSHA certified personal protective equipment (PPE)?
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Yes
No
Estimated PPE production capacity per item?
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Your answer
What else do you currently produce?
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Your answer
What could you make after retooling? 0r N/a.
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Your answer
Estimated time to re-tool & reach capacity? 0r N/a.
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Your answer
What, if any, barriers to increased production capacity are you experiencing? Please detail required resources necessary to reach maximum capacity and/or deliver new products to market.
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Your answer
Do you have a preferred distribution method?
*
Yes
No
Required
If yes to above, who does your distribution? 0r N/a.
*
Your answer
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