Note: If you are prevented from taking this survey or you do not care about ventilation, jump to the end and please let us know the reason in the Overall Comments at the end of the survey.

Your Contact Information

First Name (Required, it's okay to enter Anonymous)
Last Name
E-mail Address

Note: NA is Not Applicable or No Answer

Some Questions About You

Your Age

Education Level
NA Still in School High School Some College Associates Degree BA - Bachelor of Arts Degree BS - Bachelor of Science Degree MA - Masters of Arts Degree MS - Masters of Science Degree PhD - Doctor of Philosophy

Marital Status
NA Single Married Separated Divorced Widowed



Start with your main facility for example school, work, clubhouse. Then fill out a survey for each facility that you visit, manage, own, or have data to share. If you submit surveys for multiple facilities, once you submit the main facility survey just hit the back button and make the changes for each facility. That will speed up the survey entries because the old values may still be available.

Building Name and Location

Website (company, school, restaurant, etc)
Building Name (the Company, the School, the Restaurant, etc)
Address 1
Address 2
City / Town
State / Province
Zip Code Country

Survey Time Frame the information entered can be old information
Current Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Pre 1970 1971-1980 1981-1990 1991-2000 2001-2010 2011-2018 2019 2020 2021 2022 2023 Season Spring Summer Fall Winter

Select Your Role
NA Facility Owner Facility Manager Facility Maintenance Staff --- School Admin Teacher Student Parent Grand Parent --- Employee Executive Employee Management Employee Staff --- Customer Homeowner Renter --- Vendor Engineer Journalist Research Research Corporate Research Non Profit Research University Other
if Other selected

Select Facility Type
NA School - District School - Elementary School - Middle School - High School School - College or University --- Home Owners Association HOA Condo Clubhouse Apartment Complex Clubhouse --- Big Box Store Indoor Mall Small Retail Shop Restaurant Bar Tavern Office Warehouse --- Hospital Urgent Care Facility Rehab Facility Assisted Living Facility Elder Care Facility Doctors Office Dentist Office Eye Care Office --- Airplane Airport Train Train Station Subway Subway Station Ground Transportation Other
if Other selected

Questions

1. Are you aware of the term Air Changes Per Hour (ACH)?
Yes No

2. Are you aware that for rooms with airborne contagions the CDC minimum ACH is 12?
Yes No

3. Are you aware that for rooms with airborne contagions the WHO minimum ACH is 24?
Yes No

4. Do you know the ACH for each room in your facility?
Yes No - if Yes Highest ACH Lowest ACH Average ACH

5. Did an HVAC contractor generate balance reports and provide the ACH for each room?
Yes No Don't Know

6. Do you know that you can measure the ACH in each room using a tool that costs less than $30 dollars?
Yes No

7. Did an HVAC or other vendor make changes to the HVAC system or install other systems?
Yes No Don't Know

If Yes above, select all that apply:

Yes No Don't Know - Installed HVAC Induct UV lights
Yes No Don't Know - Installed HVAC Larger Fans
Yes No Don't Know - Modified HVAC Ducts
Yes No Don't Know - Installed New HVAC system
Yes No Don't Know - Installed Exhaust Fans
Yes No Don't Know - Installed In Room Unit Ventilators
Yes No Don't Know - Installed Ceiling Level UV-C Systems
Yes No Don't Know - Installed FAR UV-222 Systems
Yes No Don't Know - Installed Room Sanitizers
Yes No Don't Know - Installed Photocatalytic Oxidizer or Ionizer (PCO) Systems

If Yes what else did they do?

8. Are you aware that UV lights installed in the HVAC system do not increase the ACH in the actual space, they only keep the ducts clean and help the existing filters?
Yes No

9. Are you aware of the CDC suggestion to use ultraviolet germicidal irradiation (UVGI) to increase room ventilation?
Yes No

10. Does the facility have ceiling level UV-C systems?
Yes No Don't Know

If possible please provide UV-C vendor contact:

11. Does the facility have FAR UV-222 systems?
Yes No Don't Know

If possible please provide FAR UV-222 vendor contact:

12. Have you or the facility manager contacted any vendors that install ceiling level UV-C and or FAR UV-222 systems?
Yes No Don't Know

If possible please provide UV systems installer contact:

13. Do you or the facility manager have plans to upgrade the ventilation in the facility and if so what is the approach (provide comments at the end)?
Yes No Don't Know

14. Have you or the facility manager been contacted by vendors to upgrade the facility ventilation (UV, Room Sanitizers, PCO, & HVAC systems)?
Yes No Don't Know

If possible please provide upgrade vendors contact:

15. As a facility manager have you posted in plain sight to facility users the ACH level in the facility?
Yes No

16. As a facility user have you seen in plain sight the ACH level in the facility?
Yes No

17. Can you hear the facility ventilation operating?
Yes No

18. Can you feel the facility ventilation air movement in a normal location away from the vents?
Yes No

19. Does the air seem fresh?
Yes No

20. Can you see air streamers on the facility vents and are they moving?
Yes No No Need Facility Meets CDC Ventilation Guidelines

21. Have you attempted to contact the facility to alert them to possible ventilation issues?
Yes No No Need to Contact Facility

22. If you contaced the facility about ventilation did they respond?
Yes No No Need to Contact Facility



Note: NA is Not Applicable or No Answer

Select Criticality
NA Grave - Loss of Life Catastrophic - Loss of Health Critical - Operations Adversely Affected Marginal - Inconvenience or Annoyance Other

Select Budget
NA less than $1 million $1 million to $4 million $5 million to $9 million $10 million to $24 million $25 million to $49 million $50 million to $99 million $100 million +

Select Number of People
NA 1 to 5 6 to 15 16 to 49 50 to 99 100 to 249 250 to 499 500 to 999 1,000 to 4,999 5,000 to 9,999 10,000 to 24,999 25,000 to 49,999 50,000 to 99,999 100,000+

Select Responsible Industry
NA Government Federal Government State Government Local Government DOD Government FAA Government NASA Government CDC Government FDA --- Education Public Education Private --- Property Management Facilities Management Real Estate Travel Hospitality Big Box Store Small Retail Shop Wholesale Entertainment Restaurant Bar --- Airlines Airplane Manufacturing Ground Transportation Ground Transportation Manufacturing --- Health Care Hospital Health Services Medical Supplies Medical Equipment Medical Distribution --- Consulting Engineering Research Research University --- Manufacturing Manufacturing Industrial Manufacturing consumer goods Distribution Warehouse --- Financial Banking Insurance Legal Publishing Broadcast Media Other

Select Entity Type
NA Non Profit For Profit Government Other

Overall Comments. Also, if you selected Other above please provide more information.