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PHE Toolkit Feedback Survey
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1.
How frequently do you visit the site?
(Required.)
This is my first visit
Every few months or less often
Monthly
Weekly
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2.
How did you hear about the PHE toolkit?
(Required.)
Colleague
Webinar
Email
Professional Newsletter
Conference
Other (please explain)
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3.
Were you able to find what you were looking for?
(Required.)
Yes
No
Just browsing
Comments:
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4.
How likely are you to incorporate information from this toolkit into your own work?
(Required.)
Very likely
Likely
Somewhat likely
Not very likely
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5.
Did you learn new information from the toolkit?
(Required.)
Yes
No
Comments:
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6.
What best describes the topic you were looking for?
(Required.)
Obesity
Physical Activity
Nutrition
Smoking Prevention or Cessation
Emergency Preparedness
Access to Healthcare
Accessibility
Other (please specify)
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7.
How strongly do you agree or disagree with the following statements? The information in the PHE Toolkit is...
(Required.)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Useful?
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Relevant to your needs?
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
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8.
Overall, how satisfied are you with the PHE Toolkit? Please rate this item on a scale of 1 to 5, with 1 being Extremely Dissatisfied and 5 being Extremely Satisfied.
(Required.)
1
2
3
4
5
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9.
How would you describe your profession?
(Required.)
Program Planner/Coordinator/Director
Healthcare Administrator/Management
Physician
Nurse or Allied Health Professional
State/Local Public Health Official
Nutritionist/Dietitian
Researcher (health and non-health related)
Public Health Professional
Government Employee
Health Educator or Trainer
Other (please specify)
10.
About how many years have you been in your profession?
1-5
6-10
11-19
20+ years
Other (please specify)
11.
Which of the following best describes the type of organization for whom you do healh promotion or health education work?
Private, for-profit
Non-profit
Government (local, state, or federal)
Other (please specify)
12.
Please provide any other feedback that will help us improve the PHE toolkit.