TETAF Injury Prevention Needs Assessment Survey

1. Which of these most closely describes your employer?

Which of these most closely describes your employer? A hospital or health care system

A state agency or office

A city or county agency or office

A first responder organization (EMS or Fire Service)

A non-profit organization (non-medical)

A university

A law enforcement agency

A school or school district

Other

2. Do you live:

Do you live: In an urban (city) area?

In a rural (country) area?

3. What populations do your Injury Prevention activities address? (check all that apply)

What populations do your Injury Prevention activities address? (check all that apply) Children

Adults

Seniors

4. What mechanisms of injury do you address? (check all that apply)

What mechanisms of injury do you address? (check all that apply) Motor vehicle collisions

Bicycle accidents

Pedestrian accidents

Falls

Accidental infant suffocation

Sports injuries

Suicide

Homicide

Child abuse

Elder abuse

Domestic/intimate partner violence

Alcohol/drug related injuries (including intoxicated driving)

Submersions (drowning and near drowning)

Poisoning

Farm safety

All terrain vehicle safety

Other (please specify)

Other: (please specify)

5. What outcomes do you use to measure the success of your injury prevention activities? (check all that apply)

What outcomes do you use to measure the success of your injury prevention activities? (check all that apply) Process indicators (i.e number of participants)

Anecdotes/informal measures (word of mouth, newspaper)

Institutional/policy change

Knowledge change (pre and post tests)

Behavior change (observational surveys)

Long term outcomes (reduction in injuries, death rates)

None

Other (please specify)

6. How do you determine which programs or interventions to implement? (check all that apply)

How do you determine which programs or interventions to implement? (check all that apply) National initiatives (Safe kids, CDC, etc)

Review of scientific literature of best practices

Through community input (community surveys, focus group)

Through collaboration with colleagues and volunteers

Other (please specify)

7. In what areas would you like to receive additional injury prevention training? (select your top three choices)

	First choice	Second choice	Third choice
Collecting and using data effectively	*In what areas would you like to receive additional injury prevention training? (select your top three choices) Collecting and using data effectively First choice	Collecting and using data effectively Second choice	Collecting and using data effectively Third choice
Designing and implementing injury prevention programs	Designing and implementing injury prevention programs First choice	Designing and implementing injury prevention programs Second choice	Designing and implementing injury prevention programs Third choice
Evaluating injury prevention programs	Evaluating injury prevention programs First choice	Evaluating injury prevention programs Second choice	Evaluating injury prevention programs Third choice
Coalition building/collaboration	Coalition building/collaboration First choice	Coalition building/collaboration Second choice	Coalition building/collaboration Third choice
Obtaining funding for injury prevention programs	Obtaining funding for injury prevention programs First choice	Obtaining funding for injury prevention programs Second choice	Obtaining funding for injury prevention programs Third choice
Advocating for policy change	Advocating for policy change First choice	Advocating for policy change Second choice	Advocating for policy change Third choice
Screening and brief intervention for risky alcohol use	Screening and brief intervention for risky alcohol use First choice	Screening and brief intervention for risky alcohol use Second choice	Screening and brief intervention for risky alcohol use Third choice
Strategic planning	Strategic planning First choice	Strategic planning Second choice	Strategic planning Third choice

8. What mechanisms of injury would you like to learn more about? (select your top three choices)

	First Choice	Second Choice	Third Choice
Motor vehicle collisions	*What mechanisms of injury would you like to learn more about? (select your top three choices) Motor vehicle collisions First Choice	Motor vehicle collisions Second Choice	Motor vehicle collisions Third Choice
Bicycle accidents	Bicycle accidents First Choice	Bicycle accidents Second Choice	Bicycle accidents Third Choice
Pedestrian accidents	Pedestrian accidents First Choice	Pedestrian accidents Second Choice	Pedestrian accidents Third Choice
Falls	Falls First Choice	Falls Second Choice	Falls Third Choice
Accidental infant suffocation	Accidental infant suffocation First Choice	Accidental infant suffocation Second Choice	Accidental infant suffocation Third Choice
Sports injuries	Sports injuries First Choice	Sports injuries Second Choice	Sports injuries Third Choice
Suicide	Suicide First Choice	Suicide Second Choice	Suicide Third Choice
Homicide	Homicide First Choice	Homicide Second Choice	Homicide Third Choice
Child abuse	Child abuse First Choice	Child abuse Second Choice	Child abuse Third Choice
Elder abuse	Elder abuse First Choice	Elder abuse Second Choice	Elder abuse Third Choice
Domestic/intimate partner violence	Domestic/intimate partner violence First Choice	Domestic/intimate partner violence Second Choice	Domestic/intimate partner violence Third Choice
Alcohol/drug related injuries (including intoxicated driving)	Alcohol/drug related injuries (including intoxicated driving) First Choice	Alcohol/drug related injuries (including intoxicated driving) Second Choice	Alcohol/drug related injuries (including intoxicated driving) Third Choice
Submersions (drowning and near drowning)	Submersions (drowning and near drowning) First Choice	Submersions (drowning and near drowning) Second Choice	Submersions (drowning and near drowning) Third Choice
Poisoning	Poisoning First Choice	Poisoning Second Choice	Poisoning Third Choice
All Terrain Vehicle Safety	All Terrain Vehicle Safety First Choice	All Terrain Vehicle Safety Second Choice	All Terrain Vehicle Safety Third Choice

9. This is a list of the nine core competencies for injury prevention. Please RANK these nine items from most important (1) to least important (9), in terms of which are the most important for your injury prevention program. Use each number only once.

	1 - Most important	2	3	4	5	6	7	8	9 - Least important
Describe and explain injury and violence as a social health problem	*This is a list of the nine core competencies for injury prevention. Please RANK these nine items from most important (1) to least important (9), in terms of which are the most important for your injury prevention program. Use each number only once. Describe and explain injury and violence as a social health problem 1 - Most important	Describe and explain injury and violence as a social health problem 2	Describe and explain injury and violence as a social health problem 3	Describe and explain injury and violence as a social health problem 4	Describe and explain injury and violence as a social health problem 5	Describe and explain injury and violence as a social health problem 6	Describe and explain injury and violence as a social health problem 7	Describe and explain injury and violence as a social health problem 8	Describe and explain injury and violence as a social health problem 9 - Least important
Design and implement injury and/or violence prevention activities	Design and implement injury and/or violence prevention activities 1 - Most important	Design and implement injury and/or violence prevention activities 2	Design and implement injury and/or violence prevention activities 3	Design and implement injury and/or violence prevention activities 4	Design and implement injury and/or violence prevention activities 5	Design and implement injury and/or violence prevention activities 6	Design and implement injury and/or violence prevention activities 7	Design and implement injury and/or violence prevention activities 8	Design and implement injury and/or violence prevention activities 9 - Least important
Build and manage an injury and/or violence prevention program	Build and manage an injury and/or violence prevention program 1 - Most important	Build and manage an injury and/or violence prevention program 2	Build and manage an injury and/or violence prevention program 3	Build and manage an injury and/or violence prevention program 4	Build and manage an injury and/or violence prevention program 5	Build and manage an injury and/or violence prevention program 6	Build and manage an injury and/or violence prevention program 7	Build and manage an injury and/or violence prevention program 8	Build and manage an injury and/or violence prevention program 9 - Least important
Stimulate change through policy, enforcement, advocacy, and education	Stimulate change through policy, enforcement, advocacy, and education 1 - Most important	Stimulate change through policy, enforcement, advocacy, and education 2	Stimulate change through policy, enforcement, advocacy, and education 3	Stimulate change through policy, enforcement, advocacy, and education 4	Stimulate change through policy, enforcement, advocacy, and education 5	Stimulate change through policy, enforcement, advocacy, and education 6	Stimulate change through policy, enforcement, advocacy, and education 7	Stimulate change through policy, enforcement, advocacy, and education 8	Stimulate change through policy, enforcement, advocacy, and education 9 - Least important
Access, interpret, use, and present injury and violence data	Access, interpret, use, and present injury and violence data 1 - Most important	Access, interpret, use, and present injury and violence data 2	Access, interpret, use, and present injury and violence data 3	Access, interpret, use, and present injury and violence data 4	Access, interpret, use, and present injury and violence data 5	Access, interpret, use, and present injury and violence data 6	Access, interpret, use, and present injury and violence data 7	Access, interpret, use, and present injury and violence data 8	Access, interpret, use, and present injury and violence data 9 - Least important
Evaluate injury or violence prevention activities	Evaluate injury or violence prevention activities 1 - Most important	Evaluate injury or violence prevention activities 2	Evaluate injury or violence prevention activities 3	Evaluate injury or violence prevention activities 4	Evaluate injury or violence prevention activities 5	Evaluate injury or violence prevention activities 6	Evaluate injury or violence prevention activities 7	Evaluate injury or violence prevention activities 8	Evaluate injury or violence prevention activities 9 - Least important
Disseminate information through diverse communication networks	Disseminate information through diverse communication networks 1 - Most important	Disseminate information through diverse communication networks 2	Disseminate information through diverse communication networks 3	Disseminate information through diverse communication networks 4	Disseminate information through diverse communication networks 5	Disseminate information through diverse communication networks 6	Disseminate information through diverse communication networks 7	Disseminate information through diverse communication networks 8	Disseminate information through diverse communication networks 9 - Least important
Maintain and develop competency as a professional	Maintain and develop competency as a professional 1 - Most important	Maintain and develop competency as a professional 2	Maintain and develop competency as a professional 3	Maintain and develop competency as a professional 4	Maintain and develop competency as a professional 5	Maintain and develop competency as a professional 6	Maintain and develop competency as a professional 7	Maintain and develop competency as a professional 8	Maintain and develop competency as a professional 9 - Least important
Demonstrate competency in an injury or violence prevention topic	Demonstrate competency in an injury or violence prevention topic 1 - Most important	Demonstrate competency in an injury or violence prevention topic 2	Demonstrate competency in an injury or violence prevention topic 3	Demonstrate competency in an injury or violence prevention topic 4	Demonstrate competency in an injury or violence prevention topic 5	Demonstrate competency in an injury or violence prevention topic 6	Demonstrate competency in an injury or violence prevention topic 7	Demonstrate competency in an injury or violence prevention topic 8	Demonstrate competency in an injury or violence prevention topic 9 - Least important

10. Are there any additional injury prevention competencies, topic areas or mechanisms of injury you would like to learn more about?

Are there any additional injury prevention competencies, topic areas or mechanisms of injury you would like to learn more about?

TETAF Injury Prevention Needs Assessment
Exit this survey

1. Default Section

1. Which of these most closely describes your employer?

2. Do you live:

3. What populations do your Injury Prevention activities address? (check all that apply)

4. What mechanisms of injury do you address? (check all that apply)

5. What outcomes do you use to measure the success of your injury prevention activities? (check all that apply)

6. How do you determine which programs or interventions to implement? (check all that apply)

7. In what areas would you like to receive additional injury prevention training? (select your top three choices)

8. What mechanisms of injury would you like to learn more about? (select your top three choices)

9. This is a list of the nine core competencies for injury prevention. Please RANK these nine items from most important (1) to least important (9), in terms of which are the most important for your injury prevention program. Use each number only once.

10. Are there any additional injury prevention competencies, topic areas or mechanisms of injury you would like to learn more about?

TETAF Injury Prevention Needs AssessmentExit this survey

1. Default Section

1. Which of these most closely describes your employer?

2. Do you live:

3. What populations do your Injury Prevention activities address? (check all that apply)

4. What mechanisms of injury do you address? (check all that apply)

5. What outcomes do you use to measure the success of your injury prevention activities? (check all that apply)

6. How do you determine which programs or interventions to implement? (check all that apply)

7. In what areas would you like to receive additional injury prevention training? (select your top three choices)

8. What mechanisms of injury would you like to learn more about? (select your top three choices)

9. This is a list of the nine core competencies for injury prevention. Please RANK these nine items from most important (1) to least important (9), in terms of which are the most important for your injury prevention program. Use each number only once.

10. Are there any additional injury prevention competencies, topic areas or mechanisms of injury you would like to learn more about?

TETAF Injury Prevention Needs Assessment
Exit this survey