Form 001_CHUSA

Public Burden Statement: 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. The OMB control number for this project is 0915-0212. Public reporting burden for this
collection of information is estimated to average 10 to 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 1033, Rockville, Maryland, 20857.

Child Health USA 2008­2009 User Survey 
Introduction
In order to learn more about the needs of our databook users, we would like you to complete this
brief survey about your use of Child Health USA 2008—2009. The survey should take no more
than 10 minutes to complete. The survey is being conducted by the Maternal and Child Health
Information Resource Center, managed by Altarum Institute. You can complete this survey and
return it in the enclosed envelope, or complete it online at www.altarum.org/xxxxxxxx.
If you have any questions about the survey, its content, or purpose, please contact Jennifer
Decker of the Maternal and Child Health Information Resource Center at Altarum Institute (207)
772-1410 or [email protected].

1. Is this the first time you have used Child Health USA?
Yes
No
2. Where did you hear about Child Health USA 2008-2009? (check all that apply)
General Web search
Saw it on the MCHB Web site
Mailed directly to me from the Maternal and Child Health Information Center
Was referred to me by a colleague or friend
Heard or saw a press release
Received at conference or meeting
Other, please specify:
3. Please check which version(s) of the 2008-2009 databook you have used:
Online version
Print version
4. Which sections most interested you in this year’s databook?
(Please rank the top 3 by entering ‘1’ next to the section most interested in, ‘2’ next to the
second most, etc. If you were not interested in specific sections, enter ‘1’ next to that
response option)
Population Characteristics
Health Status – Infants
Health Status – Children
Health Status – Adolescents
Health Services Financing and Utilization
State Data
City Data
Not interested in specific sections

Public Burden Statement: 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. The OMB control number for this project is 0915-0212. Public reporting burden for this
collection of information is estimated to average 10 to 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 1033, Rockville, Maryland, 20857.

5. If you were interested in specific pages or health topics, please list them below:
[open-ended, insert text box here]
6. What is the primary reason you use the databook? (check all that apply)
Advocacy
Work-related use
Personal use
School
To learn about a specific topic
To find reference material for a specific topic
General interest
Other:
7. Please indicate how strongly you agree/disagree with the following statements related to
Child Health USA 2008-2009:
Strongly Disagree Neutral Agree Strongly
Disagree
Agree
I find the databook easy to navigate.
I find the layout of the databook very useful.
It is most valuable to me to have new
information on different “hot” topics in the
data book each year.
I am usually able to find the information I
need in the data book.
Overall, the topics presented in the data book
are of interest to me and others in my field.
It is most valuable to me to have the most
recent data available on the same health
topics in the data book from year-to-year.
This data book would be more useful to me if
it presented more information on fewer
topics.
This data book is usually the first place I
check for statistics on health-related topics.
This data book helps to fill a gap in easily
accessible data on health-related topics
affecting children.
8. What suggestions do you have for improving future versions of Child Health USA?
[open-ended, insert text box here]
9. Please check all of the databooks you use or have used regularly in the past (check all that
apply):

Public Burden Statement: 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. The OMB control number for this project is 0915-0212. Public reporting burden for this
collection of information is estimated to average 10 to 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 1033, Rockville, Maryland, 20857.

Women’s Health USA
Child Health USA
Kids Count Data Book (Annie E. Casey Foundation)
State Kids Count Data Books
America’s Children: Key National Indicators of Well-Being
Child Trends DataBank
Data Book for Policymakers: Maternal, Infant and Child Health in the United States
(March of Dimes)
Monitoring the Future
America’s Health Rankings
Health, United States (CDC)
Women’s Health Data Book: A Profile of Women’s Health in the United States (Kaiser
Family Foundation)
CDC FASTSTATS
Women of Color Health Data Book
Other: please specify
10. Please check all of the online tools you use or have used regularly in the past (check all that
apply):
CDC WONDER
Kaiser Family Foundation State Health Facts (statehealthfacts.org)
PeriStats(March of Dimes)
Quick Health Data Online (www.healthstatus2010.com)
Other: please specify
Demographic Questions
The following items will be used for classification purposes only.
11. Please select your field/profession:
State government – maternal and child health
State government – public health
State government – other
Federal government – maternal and child health
Federal government – public health
Federal government – other
Non-profit – advocacy
Non-profit – health
Non-profit – other
For profit – advocacy
For profit – health
For profit – other
Self-employed – advocacy
Self-employed – health
Self-employed – other

Public Burden Statement: 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. The OMB control number for this project is 0915-0212. Public reporting burden for this
collection of information is estimated to average 10 to 15 minutes per response, including the time for reviewing instructions, searching existing
data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 1033, Rockville, Maryland, 20857.

Student
Faculty
Unemployed
Other
12. How many years have you worked/had experience in this field?
[enter number, 0-99]
13. Please indicate your sex:
Male
Female
14. Are you of Hispanic origin?
Yes
No
15. Please indicate your race (check all that apply)
White/Caucasian
Black/African American
Asian
Pacific Islander
American Indian or Alaska Native
16. Please indicate your age:
18-25
26-34
35-44
45-54
55-64
65 and older

Thank you for completing this survey. Your responses will help us meet the needs of our
readers, as we plan for future versions of Child Health USA.