Drug-Free Workplace Survey

To receive information on how Industrial Screen can assist you with your drug-free workplace program please answer the following questions:


  How many employees would be covered in your program?

  Number of Locations?

Are you interested in testing for alcohol as well as illegal drugs?

Are you currently testing for drugs or alcohol?

Do you currently have a written policy?

Do you require a pre-employment physical exam?

Do you have any employees who fall under D.O.T. regulations?

Do you need assistance with your safety program?

Are you currently aware of unusual problems with:


Work Related Injuries?

Employee Benefits Claims Experience?



Isolated or general attitude problems?

Company Name

Contact Name

Email Address