Member’s interest survey

1. Member Contact Details

Company name*

Head counts*

Heath & Safety Advisor’s name*

Entire job title*

Administrative address*

Telephone numbers

Email address*

2. Business field / scope

---PUBLIC ADMINISTRATIONAUTOMOTIVEBANKING & INSURANCEBUILDINGENGINEERING, CONSULTANCY, TRAININGPUBLIC EDUCATIONMANUFACTORINGINFORMATICSHOTEL - CATERINGCLEANING & MAINTENANCE(PARA)MEDICA CARETRANSPORT - LOGISTICSOther (to be precised)

Other (to be precised) :

3. Number of Health & Safety Advisors

TOTAL (quantity + names)

Trained (quantity + names)

4. How have you got to know ATDL ?

---Training T.D.LeafletLinkedinNetworkingDirect contactEventL'EssentielOther (to be precised)

Other (to be precised) :

5. Have you ever consulted our internet site ?

 Yes No

Do you find it easy to use ?

 Yes No

Is information clearly communicated ?

 Yes No

What / how would you improve it ?

6. Do you receive our weekly Newsletter ?

 Yes No

Do you read it/find information easily ?

 Yes No

Is its frequency appropriate ?

 Yes No

Strengths ?

What / how would you improve it ?

7. Have you ever taken part in an event organized by ATDL ?

 Yes No

Which one(s) ?

Strenghts ?

What / how would you improve it/them ?

8. What are the best available timeslots for you to attend meetings or events ?

 Early morning (08h00-10h00) Lunch break (12h00-14h00) Late afternoon (16h00-18h00) Evening (from 18h00) Week-end

9. Which topics or people would you be interested in ?

10. Would you like to :

 Present a specific topic during an event ? Contribute to a specific workshop or circle of best demonstrated practices ? Take part to a business / company visit ? Organize a visit of your own business / company ?