Lyme disease booklet Survey

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* 1. Overall, do you find the information in this booklet useful?

	Not at all useful	A little useful	Somewhat useful	Very useful	Extremely useful
Information useful?	Information useful? Not at all useful	Information useful? A little useful	Information useful? Somewhat useful	Information useful? Very useful	Information useful? Extremely useful

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* 2. Is the information in the booklet clear and easy to understand?

	Very difficult to understand	Difficult	Neither easy nor difficult	Easy	Extremely easy to understand
Easy or difficult to understand?	Easy or difficult to understand? Very difficult to understand	Easy or difficult to understand? Difficult	Easy or difficult to understand? Neither easy nor difficult	Easy or difficult to understand? Easy	Easy or difficult to understand? Extremely easy to understand

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* 3. How useful is the information in each of the following sections of the booklet?

	Not at all useful	A little useful	Somewhat useful	Very useful	Extremely useful
What is Lyme disease?	What is Lyme disease? Not at all useful	What is Lyme disease? A little useful	What is Lyme disease? Somewhat useful	What is Lyme disease? Very useful	What is Lyme disease? Extremely useful
Do we have Lyme disease in Vermont?	Do we have Lyme disease in Vermont? Not at all useful	Do we have Lyme disease in Vermont? A little useful	Do we have Lyme disease in Vermont? Somewhat useful	Do we have Lyme disease in Vermont? Very useful	Do we have Lyme disease in Vermont? Extremely useful
How is Lyme disease spread?	How is Lyme disease spread? Not at all useful	How is Lyme disease spread? A little useful	How is Lyme disease spread? Somewhat useful	How is Lyme disease spread? Very useful	How is Lyme disease spread? Extremely useful
How do I prevent Lyme disease?	How do I prevent Lyme disease? Not at all useful	How do I prevent Lyme disease? A little useful	How do I prevent Lyme disease? Somewhat useful	How do I prevent Lyme disease? Very useful	How do I prevent Lyme disease? Extremely useful
Which repellents should I use?	Which repellents should I use? Not at all useful	Which repellents should I use? A little useful	Which repellents should I use? Somewhat useful	Which repellents should I use? Very useful	Which repellents should I use? Extremely useful
What do I do if I get a tick bite?	What do I do if I get a tick bite? Not at all useful	What do I do if I get a tick bite? A little useful	What do I do if I get a tick bite? Somewhat useful	What do I do if I get a tick bite? Very useful	What do I do if I get a tick bite? Extremely useful
What are the symptoms of Lyme disease?	What are the symptoms of Lyme disease? Not at all useful	What are the symptoms of Lyme disease? A little useful	What are the symptoms of Lyme disease? Somewhat useful	What are the symptoms of Lyme disease? Very useful	What are the symptoms of Lyme disease? Extremely useful
What is the treatment for Lyme disease?	What is the treatment for Lyme disease? Not at all useful	What is the treatment for Lyme disease? A little useful	What is the treatment for Lyme disease? Somewhat useful	What is the treatment for Lyme disease? Very useful	What is the treatment for Lyme disease? Extremely useful
Can animals get Lyme disease?	Can animals get Lyme disease? Not at all useful	Can animals get Lyme disease? A little useful	Can animals get Lyme disease? Somewhat useful	Can animals get Lyme disease? Very useful	Can animals get Lyme disease? Extremely useful
Should I get the tick tested?	Should I get the tick tested? Not at all useful	Should I get the tick tested? A little useful	Should I get the tick tested? Somewhat useful	Should I get the tick tested? Very useful	Should I get the tick tested? Extremely useful

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* 4. How do you feel about the amount of information provided in each section of the booklet?

	Not enough information	The right amount of information	Too much information
What is Lyme disease?	What is Lyme disease? Not enough information	What is Lyme disease? The right amount of information	What is Lyme disease? Too much information
Do we have Lyme disease in Vermont?	Do we have Lyme disease in Vermont? Not enough information	Do we have Lyme disease in Vermont? The right amount of information	Do we have Lyme disease in Vermont? Too much information
How is Lyme disease spread?	How is Lyme disease spread? Not enough information	How is Lyme disease spread? The right amount of information	How is Lyme disease spread? Too much information
How do I prevent Lyme disease?	How do I prevent Lyme disease? Not enough information	How do I prevent Lyme disease? The right amount of information	How do I prevent Lyme disease? Too much information
Which repellents should I use?	Which repellents should I use? Not enough information	Which repellents should I use? The right amount of information	Which repellents should I use? Too much information
What do I do if I get a tick bite?	What do I do if I get a tick bite? Not enough information	What do I do if I get a tick bite? The right amount of information	What do I do if I get a tick bite? Too much information
What are the symptoms of Lyme disease?	What are the symptoms of Lyme disease? Not enough information	What are the symptoms of Lyme disease? The right amount of information	What are the symptoms of Lyme disease? Too much information
What is the treatment for Lyme disease?	What is the treatment for Lyme disease? Not enough information	What is the treatment for Lyme disease? The right amount of information	What is the treatment for Lyme disease? Too much information
Can animals get Lyme disease?	Can animals get Lyme disease? Not enough information	Can animals get Lyme disease? The right amount of information	Can animals get Lyme disease? Too much information
Should I get the tick tested?	Should I get the tick tested? Not enough information	Should I get the tick tested? The right amount of information	Should I get the tick tested? Too much information

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* 5. Are there other issues about Lyme disease that you think should be discussed in future educational materials?

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* 6. Where did you get this booklet?

	Check all that apply
Library	Library Check all that apply
Town Hall/Town Offices	Town Hall/Town Offices Check all that apply
Grocery store	Grocery store Check all that apply
Outdoor store	Outdoor store Check all that apply
Health Department	Health Department Check all that apply
Physician's office	Physician's office Check all that apply
Other	Other Check all that apply

If other, please specify:

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* 7. Any additional comments or suggestions?

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* 8. What city/town do you live in?

City/Town:

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* 9. Gender?

Male

Female

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* 10. Please tell us your age

Thank you for taking the time to fill out this brief survey. Your answers will help shape future educational efforts. If you have further questions or comments about Lyme disease or this booklet, please call the Vermont Department of Health at 802-863-7240 or 800-640-4374 (within VT).