State-Based Evaluation of the Alert Notification Component of CDC's Secure Communications Network (EPI-X)

Revised Notification Proficiency Test Survey (Proposed)

During the month of <name month> 2007, a test of the Epi-X notification system was conducted in <name of state>. To complete the test, please answer the six questions in this survey. Click the Start Survey! button to begin.

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.

• I did not receive the test message

• Work telephone

• Home telephone

• Cell phone

• Work Email

• Other Email

• Voice mail

• Pager

• From a colleague

• Other. Explain how you received the message

2) When you first received the test message, what equipment were you able to access? Select one.

• I did not receive the test message

• I had access to a computer and my digital certificate

• I had access to a computer, but not my digital certificate

• I had access to my digital certificate, but no computer

• I had no equipment access of any kind

• Other. Explain your equipment accessibility

3) How did you respond to the alert? Select all that apply.

• Logged on to Epi-X, read the report, and opened this survey

• Called the telephone number on my numeric pager

• Contacted a colleague

• Installed my digital certificate on a computer

• Other. Please specify how you responded.

4) If you were to be contacted urgently after hours, how would you most likely be reached? Select one.

• Cell Phone

• Home telephone

• Work telephone

• Work Email

• Home Email

• Other Email

• Pager

• Blackberry/PDA

• Voice mail

• Other. Please specify how you would be notified.

5) Through which equipment do you routinely access Epi-X? Select all that apply

• Work computer

• Home computer

• Laptop computer

• Blackberry/PDA

6) What is your overall opinion of the Notification Proficiency Test? Select one.

• Satisfactory

• Unsatisfactory

• No opinion

• Other. Please comment on your experience.

You have now completed the survey. If you have additional comments, please note them in the “Comments” section towards the bottom of the notification test report. Thank you for your participation. Team Epi-X.