FEEDBACK: 2013 NBDPN Birth Defects Prevention Month Packet
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We welcome input and feedback on the Birth Defects Prevention Month materials. Your responses will be used to improve future packets.
1
. Activities or events coordinated for Birth Defects Prevention Month. Please specify:
Activities or events coordinated for Birth Defects Prevention Month. Please specify:
2
. Collaborators in promoting Birth Defects Prevention Month.
Collaborators in promoting Birth Defects Prevention Month.
Public health department
Hospital/health clinic
University
March of Dimes
Other
If other, please specify:
3
. Materials used to promote Birth Defects Prevention Month (check all that apply).
Materials used to promote Birth Defects Prevention Month (check all that apply).
Proclamation Template
Sample News Release
HCP Sample Letter
Resources on the Internet
Parent Support Groups and Resources
Factsheets on Selected Health Topics
Preventing BD Brochure and Poster
"10 things you should know about BD" factsheet
"5 things you should know about CHD" factsheet
March of Dimes Education Materials
CDC Order Forms
4
. Did you visit the NBDPN website (www.nbdpn.org) for BD Prevention Month materials and resources?
Did you visit the NBDPN website (www.nbdpn.org) for BD Prevention Month materials and resources?
Yes
No
5
. Please suggest improvements.
Please suggest improvements.
6
. Let us know if you have any suggestions for future BD themes/resources.
Let us know if you have any suggestions for future BD themes/resources.
7
. Additional information (optional).
Additional information (optional).
Name:
Organization:
State:
Phone:
E-mail:
Thank you for completing this survey.
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