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    1. Where should we send your FREE safety materials?
      Check if this is a home address.
    2. Number of employees in your organization *


                 


    3. What is the nature of your organization?* (Check all that apply.)
    4. How will you use these safety materials?*
      (Check all that apply.)

    5.   

    6.  

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

      Strongly agree

      Agree

      Neither agree nor disagree

      Disagree

      Strongly disagree

      SCE is committed to the safety of first responders like me.

      The information SCE provides is valuable for keeping first responders safe around electricity.

      I expect SCE to provide first responders the information necessary to get their jobs done safely around SCE’s electric infrastructure.

      The first responders at my organization use the SCE safety information to work more safely around electricity.

      The first responders materials provided by SCE help me and/or my coworkers perform their jobs more safely.

    8.  

    9. How likely is your organization to use the following safety materials?
      Safety Materials Would Use Might Use Wouldn't Use
      Booklets
      Video
      Posters
      Websites

    Internal Use Only

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