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PPE Request Form Template

Use this PPE request form template to streamline the protective equipment request process. This template can be used by healthcare workers to ensure their safety and non-transmittance of disease while dealing with patients. Customize this PPE request form template using our builder in a snap.

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Features of PPE Request Form Template

Easily Process Requests Using Our PPE Request Form Template

Benefits of This PPE Request Form Template

Collect requests, and track them hassle-free using features of SurveySparrow. Be more organized with request details, collect requests offline, and speed up the process.

Google Sheets Integration

Use SurveySparrow Google Sheet integration to record the data of the respondents directly into the spreadsheet. Once you hit the submit button the responses will directly be collected into the spreadsheet. Use this sheet to avoid confusion and have a clear record of the amount of PPEs requested.

White Labeling

Add your company logo to the form to improve internal branding and generate a sense of belongingness amongst your team members. Use the CSS tool to code your own background. Apply themes from our theme library. With a custom URL feature, have your company name in the URL.

Collect Requests Offline

Install the offline SurveySparrow app on a device and collect requests at sites with no internet connectivity. Never miss out on the safety of your employees, or workers. Collect sheets, generate reports, and place orders, all offline.

Contact Forms

Grab necessary information about the employees such as name, phone number, email address, office location, etc. This information will be helpful in the PPE delivery and in creating a contact list of the respondents. This list can be used for further purposes of any other forms.

Printable PPE Request Form

For the purpose of collecting offline requests, you can export this PPE request form into PDF format. Once you are done with the design part, you can proceed with exporting the form. Choose an appropriate paper size and try portrait or landscape orientations according to your needs. Add your company’s logo in the footer by upgrading your plan. 

Try this Patient Satisfaction Survey Template out!

Different Types of PPEs Used to Minimize Infections and Diseases

  • Face Masks (Surgical Masks, N95 Respirators, Cloth Masks)
  • Gloves (Latex, Nitrile, Vinyl)
  • Gowns and Aprons (Isolation gowns, Surgical gowns)
  • Face Shields and Goggles
  • Coveralls and Hazmat Suits
  • Respirators
  • Boot and Shoe Covers
  • Caps and Hair Covers
  • Hand Sanitizers
  • Disinfectant Wipes
  • Thermometers

How To Use This PPE Request Form Template

Step 1: Customize

Sign up for free to the SurveySparrow platform if you are a new user. Navigate to our builder and choose the necessary question types. Frame questions and design the form by changing the background image, font color, and font size. Use AI Wings to automatically create questions with just a prompt.

Step 2: Integrate

Use multiple integration options to manage your workflow using this PPE requisition form. SurveySparrow has 25+ native integration options and 1500+ options via Zapier integration.

Step 3: Share

The third step is to share the PPE distribution form for collecting requests from the healthcare workers. Share it via a unique link, SMS, WhatsApp, QR code embed, or website embed.

Step 4: Analyze

Visualize the collected data on our executive dashboard by using various widgets and charts. Interpret the PPE requests and prioritize them based on urgency.

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