* 1. How did you hear about our teach-back program materials?

* 2. How do you plan to use or how did you use the program materials?

* 3. How would you rate the overall usefulness of this program?

* 4. What resource/tool was most useful to you?

* 5. How likely are you to recommend this program to someone else?

* 6. Do you have any suggestions for how we could improve this program?

* 7. Please provide the following demographic information.

* 8. Would you like to be contacted about your answers by a representative from the Minnesota Health Literacy Partnership?

* 9. May we use the information you provided in further promotion of our program? (For example, quote on website, acknowledge use of program, share with other users of program materials.)

Thank you for taking the time to complete our suvey

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