AIRA 2017 Education Survey

Demographic Information

This survey is designed to assess the educational needs of people who work with Immunization Information Systems (IIS). The results of this survey will help guide the educational activities of AIRA throughout the next year and a half. Please have as many staff as possible with an IIS, Immunization or programmatic role complete this survey. We benefit from having multiple responses from the same awardee/organization/company.

The estimated time to take this survey is 20 minutes.

Question Title

* 1. Please enter the information below.

Name: *

Job Title: *

City/Town: *

State/Territory: *

Country:

Email Address: *

Question Title

* 2. Awardee/Organization/Company

Question Title

* 3. Affiliation/Role

Public health agency staff (IIS Manager, IIS Staff, Immunization Program Manager, Immunization Program Staff, IT Manager, IT Staff, etc.)

IIS Implementer/Vendor

Business/For-Profit (not including IIS Implementers)

National Partners (i.e. CDC, AIM, PHII, etc.)

Other (please specify)

Question Title

* 4. Average % of time spent on immunization information system (IIS) activities?

1%-25%

26%-50%

51%-75%

76%-100%

Question Title

* 5. How many years have YOU worked with IIS?

<1 year

1-2 years

3-5 years

6-10 years

>10 years