Coalition Satisfaction
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1. Default Section

 

1. Please indicate below if you belong to an government agency, community organization or a private citizen

2. Please indicate how long you have been in the HEAT Coalition.

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3. How much would you disagree with the statements below?

 Strongly DisagreeDisagreeAgreeStrongly AgreeN/A
I feel my input is seen as valuable and important.
I feel my participation in the Coalition is worthwhile
I feel that the meetings are conducted in a manner conducive to accomplishing the necessary task
The Purpose of the Coalition has been made clear to me
There is a link between the Coalition's activities and the Tobacco Education Program.

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4. How satisfied are you with:

 Not SatisfiedSatisfiedVery SatisfiedN/A
Program planning efforts which have been undertaken by the Coalition.
The progress being made by the Coalition.
The direction the Tobacco Education Program is taking to affect tobacco use education.
The quality of services being provided by the Tobacco Education Program.
The progress the Coalition is making to gain the involvement of the community.

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5. How would you rate the overall effectiveness of the Coalition?

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6. How satisfied are you with the Communities of Excellence (CX) Process?

 Not SatisfiedSatisfiedVery SatisfiedN/A
Staff's explanation of the CX process.
The ease in which you completed your portion of the CX process.
The choice of indicators to assess.
The choice of assets to assess.
The outcome of our new workplan based on the CX findings.

7. What suggestions do you have for the staff for improving the Coalition?

8. How would you strengthen the Tobacco Education Program?

9. Additional comments

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