1. Your input is needed!

Exit this survey

This short survey should take only few minutes to complete, and your responses will be anonymous. If you have questions and would like to talk with someone directly, please contact Beth using the information at the bottom of the page. Thank you!

1. At which clinic did you work? (Select all that apply)

At which clinic did you work? (Select all that apply) October 21 (Grove City Recreation Center)

October 24 (Whitehall)

November 5 (Westland Community Center)

November 7 (Peace Lutheran Church, Gahanna)

November 13 (Rickenbacker Airport)

November 14 (Rickenbacker Airport)

November 18 (Xenos Christian Fellowship)

November 19 (Xenos Christian Fellowship)

November 23 (Vineyard Church)

December 4 (Church at Mill Run)

December 5 (Church at Mill Run)

December 16 (Westland Rec Center)

December 21 (Vineyard Church)

December 30 (Franklin County Board of Heatlh)

January 9 (Franklin County Board of Health)

January 16 (Dublin Baptist Church)

January 23 (Franklin County Board of Health)

January 30 (Franklin County Board of Health)

January clinics (Franklin County Board of Health)

February clinics (Franklin County Board of Health)

Unsure

Other

If you worked another clinic on which you'd like to comment, please add the date and location here:

2. Was the process for signing up for the clinic adequate?

Was the process for signing up for the clinic adequate? Yes (The online sign-up system worked well)

Somewhat (I had some trouble with the online system)

No (I didn’t know how to sign up for the clinics)

Comments about the online sign-up system?

3. Once you signed up for the clinic, was communication with the Board of Health adequate?

Once you signed up for the clinic, was communication with the Board of Health adequate? Yes (I was told how I needed to prepare, where I should be and what time I should arrive)

Somewhat (I knew something about the clinic, but just barely enough, or not enough)

No (I didn’t know what to expect, where to be or what time to be there)

Unsure

Any comments?

4. Did you have enough information prior to the clinic to prepare?

Did you have enough information prior to the clinic to prepare? Yes

Unsure

Any comments?

5. Did you receive enough information/direction during the Supervisor training, Just in Time Training or Medical Briefing to adequately do your assigned job?

Did you receive enough information/direction during the Supervisor training, Just in Time Training or Medical Briefing to adequately do your assigned job? Yes, the training(s) was (were) sufficient

Somewhat (the training(s) provided some information, but I needed more)

No, the training(s) did not have enough information

Unsure

Any comments?

6. Did your supervisor communicate with you during your shift?

Did your supervisor communicate with you during your shift? Yes (My supervisor explained my role and was available to answer any questions I had)

Somewhat (I saw my supervisor but there wasn't a whole lot of communication)

No (My supervisor was nowhere to be seen and/or did not answer any questions)

Unsure

Any comments?

7. Were you offered at least one break during your shift?

Were you offered at least one break during your shift? Yes, I was offered (and took a break)

Yes, I was offered (but didn’t take a break)

No, I wasn’t offered a break

Unsure

8. Was your overall experience:

Was your overall experience: Positive

Negative

Neutral

Unsure

Any comments?

9. Would you work again for another Franklin County Board of Health H1N1 clinic?

Would you work again for another Franklin County Board of Health H1N1 clinic? Yes

Maybe

10. Why or why not?

Why or why not?

11. Thank you for your time! We truly appreciate your willingness to help us run these vaccination clinics. If you have suggestions or comments, please include them here. Any constructive feedback would be appreciated.

Thank you for your time! We truly appreciate your willingness to help us run these vaccination clinics. If you have suggestions or comments, please include them here. Any constructive feedback would be appreciated.

Question? Comments? Want to talk to a live person? Call 614.462.3746 and ask for Beth or email her at bapierso@franklincountyohio.gov.

http://www.co.franklin.oh.us/board_of_health/