Personal Hygiene Survey
  • Name
  • Date of birth
  • Gender
  • Occupation
  • Rate how frequently you participate in the following hygiene habits: 

     
    • Never
    •  
    • Frequently
    Washing hands before eating
    Washing hands after using the toilet
    Using hand sanitizer
    Wearing washed clothes
    Walking outside barefoot
    Drinking clean, safe drinking water
  • How regularly do you shower?
  • What type of soap do you use?

  • How regularly do you brush your teeth?
  • How regularly do you floss?
  • When do you wash your hands during the day? Check all that apply.

  • How often do you clean the house?
  • How often do you dispose of trash ?

That's all, folks!

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