PoleShark Online Questionnaire

*Email Address

Please enter your email address.

Which industry do you work in?

Utility

Telephone

Other

Check one.

As part of your job, are you required to climb wooden poles?

Yes

No

In the course of one year how often would you be required to climb a wooden pole?

once a year

once a month

more than once a month

Do you presently own a fall arrest device?

Yes

No

Is it a requirement to use a fall arrest device when climbing a wooden pole?

Yes

No

Sometimes

Would you use a fall arrest device when climbing poles in rain or icy conditions?

Yes

No

Is it more or less difficult to climb with an approved fall arrest device?

less difficult

more difficult

slows me down

difficult crossing over obstructions

Other

Do you feel safer using a fall arrest device?

Yes

No

What are your concerns about using a fall arrest device?

awkward to use

slows me down

seldom climb poles

restricts my mobility

too expensive

Other

Would you like us to contact you with more information about fall arrest devices?

Yes

No

Name:

Phone number:

State or Province

(* indicates a required field.)