BIMA Projects survey for Listen `Ear Question Title * 1. Please indicate if you are: Aboriginal Torres Strait Islander Aboriginal and Torres Strait Islander Neither Question Title * 2. Do you listen to 98.9fm? Yes No - Go to Question 4 Question Title * 3. What time of the day do you usually listen? Breakfast Mid-morning Afternoons Evenings Overnight Not applicable Question Title * 4. Do you use social media (e.g. Facebook and Twitter)? If yes, how often and for what purpose e.g. connecting with friends and families, information sharing, following organisations/people/topics of interest, games etc. Question Title * 5. Are you a parent or carer? Yes No - Go to Question 7 Question Title * 6. Do you have or care for children under the age of five? Yes No Question Title * 7. How would you rate your knowledge of Otitis Media, a common childhood disease affecting Aboriginal and Torres Strait Islander children? I don't know what it is I know a little I know a fair bit I know a lot Question Title * 8. If you've listened to one our Listen `Ear messages on the website please fill out the following. Strongly agree Agree Disagree Strong disagree Is the content appropriate for Aboriginal and Torres Strait Islander people? Is the content appropriate for Aboriginal and Torres Strait Islander people? Strongly agree Is the content appropriate for Aboriginal and Torres Strait Islander people? Agree Is the content appropriate for Aboriginal and Torres Strait Islander people? Disagree Is the content appropriate for Aboriginal and Torres Strait Islander people? Strong disagree Is the message clear? Is the message clear? Strongly agree Is the message clear? Agree Is the message clear? Disagree Is the message clear? Strong disagree Has the message resulted in you thinking more about Otitis Media? Has the message resulted in you thinking more about Otitis Media? Strongly agree Has the message resulted in you thinking more about Otitis Media? Agree Has the message resulted in you thinking more about Otitis Media? Disagree Has the message resulted in you thinking more about Otitis Media? Strong disagree Will the message incline you to seek health advice? Will the message incline you to seek health advice? Strongly agree Will the message incline you to seek health advice? Agree Will the message incline you to seek health advice? Disagree Will the message incline you to seek health advice? Strong disagree Question Title * 9. How did you hear about this project? On the radio Word-of-mouth Email network Other (please specify) Question Title * 10. Thank you for completing the survey. Now provide your contact details if you wish to receive an ear health pack and to be in the draw for a $50 voucher. (This information will be kept private and confidential). Name: Address 1: Address 2: City/Town: State: Postal Code: Email Address: Phone Number: Done