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Order Free Safety Training Materials

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    DVD    USB Drive
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1. Where should we mail your FREE safety materials?

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2. Number of employees (including owner):
    0-5    6-10    11-20    21-50    51+

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3. What is your primary business? (Check all that apply.)

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4. How will you use these safety materials? (Check all that apply.)

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5. What do you feel are the most important safety topics that need to be covered
    in training materials?



6. How much do you agree with each of the following statements?

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
AEP is committed to the safety of workers like me.
The information AEP provides is valuable for keeping workers safe around electricity.
I expect AEP to provide workers the information necessary to get their jobs done safely around AEP's electric infrastructure.
The workers at my company use the AEP safety information to work more safely around electricity.
The worker materials provided by AEP help me and/or my coworkers perform their jobs more safely.


7. Years company has been in business:
    0-5    6-10    11-20    21-50    51+


8. Is there another language that would be beneficial to have the materials in?


9. How likely is your organization to use the following safety materials?

  Would Use Might Use Wouldn't Use
Slide shows
Trainer's guides
Wallet cards
Visor cards


9. ¿Cuál es la probabilidad de que su organización utilice los siguientes materiales de seguridad? (BILINGUAL)

  Los utilizaría Podría utilizarlos No los utilizaría
Presentaciones de diapositivas
Guías del instructor
Sitios web
Tarjetas para cartera de bolsillo
Tarjetas para parasol




Internal Use Only


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Date (mm/dd/yy)