Order Free Safety Training Materials

1. Where should we mail your FREE safety materials?
First Name
Last Name
Title
Company
Mailing Address
  Check if this is a home address.
City
State Please select an item.
Zip
Phone
Email


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

Please make a selection.

 

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


Please make a selection.

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


Please make a selection.

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
CPS Energy is committed to the safety of workers like me.
The information CPS Energy provides is valuable for keeping workers safe around electricity and natural gas.
I expect CPS Energy to provide workers the information necessary to get their jobs done safely around CPS Energy's electric and natural gas infrastructure.
The workers at my company use the CPS Energy safety information to work more safely around electricity and natural gas.
The worker materials provided by CPS Energy 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?
    

 

 

 

Internal Use Only

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