NWTHS Feedback

We value your experience and want to hear from you. Whether it’s a shout-out for a job well done, a suggestion for improvement, or something we missed the mark on—we’re all ears. Your feedback helps us grow, serve you better, and uphold the high standards we set at GermBlast.

Please take a moment to let us know how we’re doing. Every comment is reviewed by our leadership team and helps us deliver an even better experience moving forward.

Thank you for trusting GermBlast. We’re honored to serve you.

Name *

Role/Department *

Email *

Today's Date *

Feedback Details

Please provide information about the event leading to your feedback.

Date of Incident *

Location of Incident *

Time of Incident *

What Was Your Involvement? *

Select Facility

Who was directly involved? *

Please list names and titles of those who were directly involved in the incident. Please exclude witnesses from this list.

Who witnessed the incident? *

Please list the names and titles of those who witnessed the incident.

Describe the incident. *

Please provide as much detail as possible, including relevant events that led up to the incident.

If any policies, procedures, or other guidelines were violated during the incident, please list them below.

Cite specific information from the employee handbook when possible.

any comments were

Please list any additional comments or information.

Terms and Agreement *

I understand and agree to the terms listed here.

I submit this form and confirm that everything on it is true and complete to the best of my knowledge. I understand that providing false information can lead to disciplinary action and/or termination.

GermBlast® is an industry-leading disinfection company that kills harmful viruses and bacteria in homes and businesses across the Southwest region and beyond. Keeping our communities healthy and thriving is at the heart of what we do.

Our Goal:

Keeping the fight outside the body.®

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Our Goal:

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