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Survey - Introduction to Child Development for WIC Staff
1.
What state are you from?
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
2.
What organization do you work for?
*
3.
What is your position
(Required.)
CPA
Office Staff
Administration
Other (please specify)
*
4.
My knowledge of developmental milestones has increased after taking this course.
(Required.)
Extremely
Very much
Moderately
Slightly
Not at all
*
5.
This training has helped me to feel more comfortable asking families to complete a milestone checklist and reviewing it briefly with them.
(Required.)
Extremely
Very much
Moderately
Slightly
Not at all
*
6.
Will you use the “Learn the Signs. Act Early.” resources mentioned in the course to help WIC families monitor the development of their children?
(Required.)
Yes
No
I already use them
*
7.
The amount of information presented and the time it took for the module was appropriate.
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
8.
How did you hear about this module?
ASPHN's Webpage
CDC's Webpage
A WIC Staff Member/Manager
Other (please specify)
9.
Would you like to be contacted to share more about your experience with the WIC Developmental Monitoring Program? If yes, please share your contact information.
Name
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address
Current Progress,
0 of 9 answered