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1. The Ticks are Out

 

This is a brief survey to help us assess the usefulness of our new booklet about Lyme disease, The Ticks are Out. Please take a moment to fill out this survey. Completing the survey should take 5 to 10 minutes.

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?

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?

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?
Do we have Lyme disease in Vermont?
How is Lyme disease spread?
How do I prevent Lyme disease?
Which repellents should I use?
What do I do if I get a tick bite?
What are the symptoms of Lyme disease?
What is the treatment for Lyme disease?
Can animals get Lyme disease?
Should I get the tick tested?

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?
Do we have Lyme disease in Vermont?
How is Lyme disease spread?
How do I prevent Lyme disease?
Which repellents should I use?
What do I do if I get a tick bite?
What are the symptoms of Lyme disease?
What is the treatment for Lyme disease?
Can animals get Lyme disease?
Should I get the tick tested?

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

6. Where did you get this booklet?

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

7. Any additional comments or suggestions?

8. What city/town do you live in?

9. Gender?

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).

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