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* 1. Organization:

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* 2. Title:

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* 3. Would you be interested in an ADHS Infectious Disease Resources smartphone/tablet app?

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* 4. What platform(s) would you most likely use to access an app related to infectious diseases? (Check all that apply)

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* 5. If you look online for infectious disease information, what type of information do you look for? (Check all that apply)

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* 6. Do you currently receive e-mail notifications or updates through the Arizona Health Alert Network (HAN)?

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* 7. How would you like to receive messages through the Arizona Health Alert Network?

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* 8. Please rate the following items that would be most helpful to see in an app:

  Very Important Important Not too important Not at all important
Current public health threats / Emerging diseases
Statistics (for example: Case counts by county)
Information about infectious diseases (symptoms, recommended treatment, precautions, what to expect from public health)
Reportable conditions
Healthcare Associated Infection References (needlestick and bodily fluid exposures)
Public health laws pertaining to healthcare providers (reporting, HIPAA exemption, Expedited Partner Therapy, etc.)
Public health guidance documents (STD treatment, HAI, TB, etc.)
Contacts for specific clinical consultations: STD, HIV, TB, Needle stick etc.
Vaccine clinic locations
Public health clinic locations: STD, Healthcare for homeless, TB, Refugee
Up to date vaccination schedules
Other

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* 9. In your day to day activities, how often would you anticipate using the app?

T