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Hello, thank you for taking part in this survey. We encourage all staff to submit an evaluation survey individually. Please answer this survey as fully and accurately as possible. Your thoughtful feedback will be used to measure how effective the pregnancy immunization toolkit is and whether provider support staff (i.e. CNAs, MAs, etc.) feel equipped to recommend prenatal vaccines to their patients. The survey should only take 5-7 minutes to complete. Be assured that all information provided will be kept confidential.

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* 1. What was your level of knowledge of prenatal vaccines BEFORE accessing the Pregnancy Immunization Toolkit?

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* 2. What is your level of knowledge of prenatal vaccines AFTER accessing the Pregnancy Immunization Toolkit?

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* 3. Is the organization of the materials in a logical order that was easily understood?

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* 4. Related to Q3, if answered NO, please explain how the logical order could be improved. 

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* 5. Related to the overall Pregnancy Immunization Toolkit, please identify resources that could be improved upon. (Choose all that apply.)

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* 6. Related to Q5, how could the resources selected above be improved? Please provide as much detail as possible.

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* 7. Related to the educational video for OB/GYN staff, please identify area(s) where the material could be improved. (Choose all that apply.)

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* 8. Related to Q7, how could the areas selected above be improved? Please provide as much detail as possible.

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* 9. Overall, how would you rate the effectiveness of the pregnancy immunization toolkit?

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* 10. As a thank you for completing this survey, we would like to send you a few gifts that include a window cling and badge reel. To receive these gifts, please fill out the information below!

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