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Does the food you eat seem to be safe for consumption to you?
 
A. Yes
 
B. No
 
If ‘No’, specify the reason for your answer.

 
 
 
Do the silverwares provided to you seem to be appropriately safe for your use?
 
A. Yes
 
B. No
 
If ‘No’, specify the reason for your answer.

 
 
 
Do you feel safe in the building where you are having your break-time?
 
A. Yes
 
B. No
 
If ‘No’, specify the reason for your answer.

 
 
 
Does the environment outside causes harm to you?
 
A. Yes
 
B. No
 
If ‘Yes’, specify the reason for your answer.

 
 
 
Do the people around you seem to be harmful to you?
 
A. Yes
 
B. No
 
Specify the reason for your answer.

 
 
 
Do you feel safe in the break environment?
 
A. Yes
 
B. No
 
If ‘No’, specify the reason for your answer.