Newborn Screening Survey

1.

We would like to find out more about who visits our site and how our parent fact sheets are used. Please take a few moments to fill out our survey below. Thank you!

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1. Where are you from? (Required.)

State/Province:

Country:

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2. Are you a:

Family member of a child with a metabolic condition

Health care provider

Public health worker

Student

Other

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3. If you checked "other" above, please describe.

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4. How did you find our website?

Through a link from a different website

An internet search (via google or a different search engine)

From a brochure or pamphlet

At a conference

Through word of mouth

Other

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5. If you checked "other" above, please describe how you found our website.

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6. How have you used our parent fact sheets?

Read fact sheets online for information

Gave fact sheets to family members

Gave fact sheets to health care providers

Gave fact sheets to other individuals

Distributed fact sheets at an organization or event

Modified the fact sheets for use in your state/province

I have not used the fact sheets

Other

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7. If you checked "other" above, please describe how you have used our parent fact sheets.

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8. How useful are the fact sheets?

Very useful

Useful

Somewhat useful

Not useful at all

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9. Do you think we should continue to maintain and update the information in the parent fact sheets?

Yes

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* 1. Where are you from? (Required.)

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* 2. Are you a:

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* 3. If you checked "other" above, please describe.

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* 4. How did you find our website?

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* 5. If you checked "other" above, please describe how you found our website.

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* 6. How have you used our parent fact sheets?

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* 7. If you checked "other" above, please describe how you have used our parent fact sheets.

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* 8. How useful are the fact sheets?

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* 9. Do you think we should continue to maintain and update the information in the parent fact sheets?

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* 10. Please provide us with any other comments.

1. Where are you from? (Required.)

2. Are you a:

3. If you checked "other" above, please describe.

4. How did you find our website?

5. If you checked "other" above, please describe how you found our website.

6. How have you used our parent fact sheets?

7. If you checked "other" above, please describe how you have used our parent fact sheets.

8. How useful are the fact sheets?

9. Do you think we should continue to maintain and update the information in the parent fact sheets?

10. Please provide us with any other comments.