The Hawaii Department of Health (DOH)  is investigating a cluster of locally-acquired cases of dengue fever on Hawaii Island (the Big Island). As part of the response we are interested in identifying the knowledge, attitudes, and practices of residents to better serve you. Your responses will be anonymous. Only one electronic survey will be allowed per device and IP address. Please complete the following to the best of your ability.

If you have any questions or need assistance completing the survey please contact Jason Dela Cruz at (808) 974-6010. If you have any questions about your role in this survey, contact the DOH Institutional Review Board at (808) 586-4503.

Mahalo!

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* 1. How are you taking this survey today?

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* 2. What City do you live in?

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* 3. What is your home zip code?

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* 4. What is your gender?

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* 5. How would you best describe your race? (choose all that apply)

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* 6. What is your current age?

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* 7. To your knowledge, the symptoms of dengue fever include the following? (choose all that apply)

  Yes No Don't Know
Pink or red eyes
Joint pain or body aches
Headache
Eye pain
Stomach pain
Cough
Rash

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* 8. What of the following efforts to reduce mosquitoes do you currently practice at your home, where you work, or where you play?

  Yes No N/A
Eliminate standing water in buckets, puddles, etc.
Fix leaky faucets and outdoor hoses that are dripping water
Treat bromeliads or other plants that hold water
Clean your gutters so water runs freely
Repair screens or jalousie windows to keep mosquitoes out
Dispose of old tires
Routinely get rid of trash that could be a mosquito breeding ground

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* 9. Please answer the following if it applies to your home:

  Yes No N/A
Do you have a catchment tank at your home?
If so, do you routinely check your tank for insects that may be living inside?
If so, is it sealed with a cover?

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* 10. How frequently do you perform the following behaviors to reduce your risk of being bit by mosquitoes?

  Daily Once a week Only when mosquitoes are present Never
I use mosquito repellent or products that repel or kill mosquitoes when outside.
I use long sleeve shirt and/or pants when outside.
I avoid activities in areas with lots of mosquitoes, and minimize going outdoors at dawn and dusk when mosquitoes are most active.

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* 11. Mosquitoes bother me at home, work, or play:

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* 12. In my opinion, mosquito activity level at these places is best described as:

  No mosquitoes Low Medium High
My home
At work
Where I play

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* 13. Which of the following places are you concerned about getting dengue? (answer all that apply)

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* 14. Please answer the following:

  Yes No N/A
Are you familiar with the "Fight the Bite"?
Do you do anything differently as a result of "Fight the Bite"?
Do you feel dengue is a serious problem for all of Hawaii Island?
Do you feel dengue is a serious problem in your neighborhood?
Have you discussed dengue with your family and/or friends?

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* 15. What are the best ways to share dengue-related information with you? (choose all that apply)

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* 16. Have you traveled to any of the following tropical/sub-tropical areas that may be endemic (common) for dengue? (choose all that apply)

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* 17. If you checked any box in Q16:

  Yes No
Do you review health-related travel information, like cdc.gov/travel, before you travel?
Do you use repellent or bug-spray when you travel?
Do you use mosquito nets when you travel?
Do you wear long sleeves or pants when you travel?
Thank you for your responses. Please click "DONE" below to submit your survey. If your community would like to schedule a speaker or presentation about dengue please contact the Hawaii District Health Office at (808) 974-6001.

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