Form #1 Form #1 Research Activities Newsletter Questionnaire

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Form Approved
OMB No. 0935-0179
Exp. Date 07/31/2014

urvey of AHRQ’s Research Activities

Please provide feedback on AHRQ’s newsletter so we can better meet your information needs.

Do you find the research summaries informative?

Yes____ No____

Do you like the new cover stories and director’s column?

Yes____ No____

Would you like to see more features or columns?

Yes____No____

Which topics?

State issues____ Clinical trends____ Case studies____ Other________________________________________________

What newsletter sections are the most valuable to you?

__Cover stories __Announcements

__Director’s column __Research briefs

__Research summaries __Annual index by topic

__News and Notes

Which version of the newsletter do you prefer?

Print____Online____ Why____________________________________

How do you use Research Activities?

__As a teaching tool

__In discussions with colleagues

__To stay up-to-date with research trends

__To inform policy discussions

__Other(Please specify)________________________________

Public reporting burden for this collection of information is estimated to average 1 minute per response, the estimated time required to complete the survey. 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 of information, including suggestions for reducing this burden, to: AHRQ Reports Clearance Officer Attention: PRA, Paperwork Reduction Project (0935-0179) AHRQ, 540 Gaither Road, Room # 5036, Rockville, MD 20850.

Do you primarily consider yourself a:

__Researcher

__Clinician

__Policymaker

__Hospital/Health care system administrator

__Legislator

__Other(Please specify)___________________________________

Suggestions/Comments__________________________________________________________________________________________________

September 2011