Personal Protective Equipment (PPE) Needs Survey

The PPE Needs Survey is now closed. Thank you for your responses.

For more information about IDHS's coronavirus efforts, please see the IDHS Coronavirus Page

Please specify the item count needed for each of the below:

PPE Count
Preventative/Sanitizing Items Count

* if reusing PPE per guidelines


(e.g., in home care worker who enters 5 homes per day and must be in close
contact with the client in order to successfully perform job)

Please indicate which, if any, of the following agencies you have contracted with: