Form Approved
OMB No: 0920-1009
Exp. Date: 3/31/2017

Thank you for agreeing to help the Centers for Disease Control and Prevention (CDC) evaluate the WISQARS Mobile iPad app. Your feedback is extremely important. We anticipate that it will take approximately 10 minutes to complete these questions. All responses are anonymous.

Your responses to all questions will be kept in a secure manner. All information is used for evaluation purposes only, and CDC does not plan to share the data with anyone outside CDC.

To accept these terms and proceed through the survey, click “Next” and then select your answer for each question.