Current Notification Proficiency Test Survey
During the week of <state week of test> 2006, a test of the Epi-X notification system was conducted in <name of state>. To complete the test, please answer the seven questions in this survey. Click the Start Survey! button to begin.
OMB BURDEN STATEMENT. This is an Office of Management and Budget approved instrument (OMB Control # 0920-0636). Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection information, including suggestions for reducing this burden, to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS E-11, Atlanta, Georgia 30333; Attn: PRA (0920-0636).
1) How did you first receive the test message? Select one
Work telephone.
Cell phone.
Home telephone.
Voice mail.
Pager.
From a colleague.
Did not receive the message
Other. Explain how you received the message
2) Where were you when you first received the test message? Select one.
At work.
At home.
In transit.
Did not receive the message.
Other. Please explain where you were.
3) How did you respond to the alert? Select all that apply
Logged on to Epi-X.
Called the telephone number on my numeric pager.
Called a colleague.
Did not respond.
Other. Please specify how you responded.
4) If you received the message by numeric pager, you should have received a telephone number to call. If you called the telephone number provided, was your call answered on the first attempt? Select One.
I did not receive a numeric pager message.
My call was answered the first time.
I had to call two or more times to get the message.
The call was never answered.
I did not call the telephone number on my numeric pager.
Other. Please comment on your experience.
5) If you were to receive an urgent notification during off hours, how would you most likely be notified? Select one.
Cell phone.
Home telephone.
Voice mail.
Pager.
Work telephone.
Other. Please specify how you would be notified.
6) From what computers do you routinely access Epi-X? Select all that apply.
Work computer
Laptop computer
Home computer
Other. Specify the location of your computer.
7) What is your overall opinion of the notification proficiency test? Select one.
Very Unsatisfactory
Satisfactory
Unsatisfactory
Very Unsatisfactory
No opinion
Other. Please comment on your experience.
You have now completed the survey. Thank you for your participation. Team Epi-X.
| File Type | application/msword |
| File Title | Revised Notification Proficiency Test Survey |
| Author | cra2 |
| Last Modified By | ziy6 |
| File Modified | 2007-02-06 |
| File Created | 2007-02-06 |