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* 1. Please share the name of your organization.

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* 2. Which of the following best describes you?

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* 4. How did you hear about this webinar?

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* 5. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Discuss a framework for thinking about vaccine acceptance and hesitancy

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* 6. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Review findings from CDC research about vaccine acceptance and hesitancy in the past several years

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* 7. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Share how research findings have informed CDC's communication efforts

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* 8. Please rate the relevance of this information to your work/professional development:

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* 9. Please rate the overall quality of the presentation given by  Glen Nowak, PhD:

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* 10. Please rate the overall quality of the presentation given by Allison Kennedy Fisher, MPH:

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* 11. Please rate the overall quality of the presentation given by Jenny Mullen, MPH:

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* 12. Overall quality of the session

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* 13. Which of the following best describes how you have used each of the following materials available from CDC when discussing childhood vaccines with parents, colleagues, or the general public?

  Have used or are currently using Have not used but would like to Not likely to use
Provider Resources for Vaccine Conversations with Parents
Print ads
Radio PSA
Television PSA
Animated videos
Drop-in articles
Posters
Sample Tweets
Sample Facebook postings
Infographics
Parent-friendly Vaccine Website

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* 14. On a scale of 1 to 5, with 1 being not at all likely and 5 being extremely likely, how likely are you to do each of the following?

  Not at all likely Somewhat likely Likely Most likely Extremely likely
Share Provider Resources with parents and health care professionals
Give strong recommendations for on time childhood immunization and welcome parent questions
Download and place radio and TV PSAs locally
Publish print ads and drop in articles in your parent publications

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* 15. What additional childhood immunization resources would you like to see CDC develop?

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* 16. Were you able to access the presentation on-line through WebEx? If not, please describe any technical issues encountered.

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* 17. How many persons listened to the Webinar at your site?

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* 18. What is the most important thing or idea you learned from this webinar?

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* 19. How might you incorporate this new information into your organization?

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* 20. Please share other feedback or suggestions on the session.

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