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Prenatal Video Library Survey

Please complete one survey for each video watched.
1.Which video did you watch?
Preconception
1st Trimester
2nd Trimester
3rd Trimester
4th Trimester (Postpartum)
Video Title:
2.What is your primary language?
3.Tell us how much you agree or disagree with each statement below.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
N/A
The information provided by the speaker was easy to understand.
The speaker was easy to hear.
The captions were easy to understand.
The graphics (photos or images) were helpful.
4.How do you feel about the delivery of patient education for this topic? (Select all that apply)
5.Do you have any suggestions to improve this video or future videos? (Short text response)
If you are watching this video as part of your clinic visit, please provide your first and last name and email address to receive credit and be entered into the prize raffle while supplies last.

Si está viendo este video como parte de su visita a la clínica, por favor proporcione su nombre y apellido y su correo electrónico para recibir crédito y participar en el sorteo del premio.
6.Contact Information:
Your information will be used only by Harnett County Health Department for tracking and incentives. It will not be shared outside the department. Responses are confidential, and contact information will be disaggregated and stored separately from survey responses.