The Immunization Information Systems Support Branch (IISSB) at the Centers for Disease Control and Prevention (CDC) was funded to conduct the Clinical Decision Support for Immunization (CDSi) Project which is working to improve the accuracy and consistency of forecasting and evaluation across the IIS community and improve the timeliness of IIS accommodation of new or changed rules determined by the Advisory Committee for Immunization Practices (ACIP).

The purpose of this survey is to assess the audience related to immunizations, in an effort to provide content-focused training surrounding the CDSi project.

If you have any questions or concerns, please contact Lindsay Ryan, Project Coordinator, at

* 1. Please complete the respondent contact information below.

* 2. What is the job title for your current position?

* 3. What is the name of your organization?

* 4. What type of organization is it?

* 5. What is your role?

* 6. Do you have a background in immunization evaluation and forecasting?

* 7. If so, how many years?

* 8. Which of the following courses would be of interest? (Select all that apply)

* 9. Courses on Supporting Data Tables, Evaluation Logic & Forecasting Logic will be held the week of November 26, 2012 & December 3, 2012.

If you're interested in attending, please indicate the best date/time based on your availability. All times are Eastern. (Select all that apply)

  Monday, December 3, 2012 Tuesday, December 4, 2012 Wednesday, December 5, 2012 Thursday, December 6, 2012
10:00 am - 11:30 am
1:00 pm - 2:30 pm
2:00 pm - 3:30 pm
3:30 pm - 5:00 pm

* 10. What would you hope to gain from the training?

* 11. What learning style(s) do you prefer? (Select all that apply)