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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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* 3. Please select the state (or territory) where your organization is based.

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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.)

Describe the current context of adult immunization including the CDC recommended schedule, vaccination rates, and burden of disease.

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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.)

Provide information on recently updated Standards for Adult Immunization Practice.

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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.)

Provide an overview of CDC research on adult immunization communication.

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

Share best practices, evidence-based strategies, and communication resources to support healthcare and public health professionals in educating and encouraging adults to get vaccinated.

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

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* 10. Please rate the overall quality of the presentation given by  Carolyn Bridges, M.D.

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* 11. Please rate the overall quality of the presentation given by Aparna Ramakrishnan, MA, MSW

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* 12. Please rate the overall quality of the presentation given by Michelle Basket

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* 13. Overall quality of the session

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* 14. What do you feel is the biggest barrier to improving Adult vaccination rates?

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* 15. What type of resources, training, or education would help you feel more comfortable talking with adults about recommended vaccines?

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* 16. What steps can you take to improve adult immunization?

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

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

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

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

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

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