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pdfCommunity Guide Web Survey of STLT Email Subscribers
Form approved
OMB No. 09200879
Expiration Date: 03/31/2014
Welcome! Thank you for agreeing to share your opinions about The Community Guide website and products. CDC is trying to understand your
needs related to The Community Guide. The survey should take approximately 6 to 8 minutes to complete.
This survey will gather information about usefulness and satisfaction with the website from eligible subscribers such as you; satisfaction with
Community Guide products; how products have been used; and recommendations for improving the website and Community Guide products. We
will use your feedback to make improvements to The Community Guide website and products and to make the Guide more useful.
Your privacy is very important to us. Your responses to all questions will be kept secure as permitted by law. No personal identifiers will be recorded.
All information will be used for evaluation purposes only, and CDC will share only aggregated data. Your participation is completely voluntary.
Once you begin the survey, you may save your responses return to the survey at a later time to complete. You must however, complete the survey
before the survey close date of [INSERT DATE]. To proceed through the survey, select your answer for each question and click [“Next”]
Thank you.
Public reporting burden for this collection of information is estimated to average 6 to 8 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 of information,including suggestions for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, ,
MS D74, Atlanta, Georgia 30333, ATTN: PRA (09200879).
1. I have read and understand this information and agree to participate
j Yes
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j No. I do not want to participate at this time.
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Community Guide Web Survey of STLT Email Subscribers
Please tell us about yourself and the organization you work for.
2. What is your primary work location? (Select One)
j State, tribal, local or territorial public health department
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j Nongovernmental organization (such as NACCHO, ASTHO, statebased health organizations, communitybased organizations)
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j Academic institution
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j Hospital or medical center
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j Other private healthrelated business (such as a health plan, physician's office, pharmaceutical company)
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j Other, please describe
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Community Guide Web Survey of STLT Email Subscribers
3. What public health organization do you work for? (e.g. Hudson County Health
Department)
4.
Which specific U.S. state, territory, Pacific Island, or the District of Columbia do you
Other
work in? (e.g., Georgia, Guam, etc.)
6
5. Please choose the occupational category that best describes your role or function in
your current position:
j Division or Bureau health or Division Deputy Director
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j Department Head
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j Behavioral Health Professional
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j Laboratorian
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j Emergency Preparedness Coordinator or Staff
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Scientist
j Nutritionist
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j Physician
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j Program manager, administrator, or coordinator
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j Fiscal Officer or Accountant
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j Health Communicator
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j Health Educator
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j Nurse
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j Lawyer or Policy Advisor
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j Environmental Health Coordinator, Sanitarian, Specialist, or
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j Evaluator
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j Information Technology Specialist
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j Administrative or Clerical Staff
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j Epidemiologist
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j Health Scientist
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j Program planner
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j Public Information Officer
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j Researcher
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j Other, please describe:
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6. How long have you worked for this health department?
j 1 year or less
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j 2 – 5 years
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j 6 – 10 years
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j More than 10 years
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Community Guide Web Survey of STLT Email Subscribers
7. How long have you been in in your current position?
j 1 year or less
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j 2 – 5 years
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j 6 – 10 years
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j More than 10 years
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8. How long have you been involved in public health overall?
j 1 year or less
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j 2 – 5 years
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j 6 – 10 years
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j More than 10 years
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9. What is the size of your agency?
j Less than 50 employees
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j 51100 employees
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j 101250 employees
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j 251500 employees
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j >500 employees
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10. Which degrees do you hold (Check all that apply)?
c AA (associate’s degree), BA, or BS
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e
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c RN or other Nursing degree
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c MS, MSc, MPH or other healthrelated master’s degree
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c Other master’s degree
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Other
c PA or NP
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c MD of DO
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c PhD, DrPH, ScD or other healthrelated doctorate degree
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c Other doctorate degree
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c Other (please specify):
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Community Guide Web Survey of STLT Email Subscribers
11. Which of the following best describes your areas of subject matter expertise (Check all
that apply)?
c Chronic Conditions (e.g., cancer, diabetes, heart disease,
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asthma)
c Infectious Diseases (e.g., HIV/AIDS, influenza)
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c Aging and disability
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c Immunizations
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c Tobacco and substance abuse
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c Physical activity and nutrition
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c Environmental Health (e.g., food safety, inspections, licensing)
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c Workplace Safety and Health
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c Other (please specify):
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c Oral health
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c Injury, Violence prevention, and Safety
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c Maternal and child health
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c Mental health
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c Emergency Preparedness and Response
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c Data and Statistics (e.g., vital statistics, surveillance)
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Community Guide Web Survey of STLT Email Subscribers
Please tell us about your experiences using The Community Guide Website.
12. How often do you use The Community Guide website for workrelated purposes?
j Daily
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j Weekly
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j Monthly
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j A few times per year
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j Never
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13. Please rate your level of agreement with the following statements about the Design and
Layout of The Community Guide website:
“Look and feel” of the site is
Strongly Disagree
Disagree
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Neither Agree nor
Agree
Strongly Agree
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Disagree
pleasing
Web pages are well
organized
The terminology and
language on the site is
clear
14. Please rate your level of agreement with the following statements about the Utility and
Navigation of The Community Guide website:
Overall, The Community
Strongly Disagree
Disagree
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j
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Neither Agree nor
Agree
Strongly Agree
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j
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j
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Disagree
Guide website is easy to
use
Information on The
Community Guide website
is easy to find
I use the site as my primary
source for information
about what works in public
health
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Community Guide Web Survey of STLT Email Subscribers
15. Please rate your level of agreement with the following statements about the Content of
The Community Guide website:
The site contains useful
Strongly Disagree
Disagree
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n
j
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j
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Neither Agree nor
Agree
Strongly Agree
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j
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j
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j
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Disagree
information
Information on the site is
current
I would recommend this site
to others
Overall, I am very satisfied
with The Community Guide
website
16. Thinking of the last time you visited The Community Guide website, did you find what
were you looking for?
j Yes
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j No
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Please specify what you were looking for:
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Community Guide Web Survey of STLT Email Subscribers
Over the past year, several products have been developed to improve the use of The Community Guide. We’d like to learn more about what
you think of 3 of these products.
17. Have you seen The Community Guide “What Works: Tobacco Use” ?
j Yes
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j No
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Community Guide Web Survey of STLT Email Subscribers
18. Where did you first see this product?
j Website
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j Conference or Exhibit
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j Training, Webinar, or Workshop
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j Received from colleague
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j Other (please specify):
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19. The goal of the fact sheet is to provide a quick overview of specific Task Force
recommendations on Community Guide topics such as tobacco use. To what extent did
the fact sheet meet that goal?
j Very well
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j Somewhat well
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j Not at all
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n
20. Would you recommend this product to a colleague or peer?
j Yes
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n
j No
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21. Have you shared this product with your colleagues or peers?
j Yes
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j No
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Community Guide Web Survey of STLT Email Subscribers
22. Have you seen the Community Guide Flyer?
j Yes
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j No
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Community Guide Web Survey of STLT Email Subscribers
23. Where did you first see this product?
j Website
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n
j Conference or Exhibit
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j Training, webinar, or workshop
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j Received from colleague
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j Other (please specify)
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24. The goal of the flier is to promote The Community Guide and its use. To what extent did
the flyer meet that goal?
j Very well
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j Somewhat well
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n
j Not at all
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25. Would you recommend this product to a colleague or peer?
j Yes
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n
j No
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n
26. Have you shared this product with your colleagues or peers?
j Yes
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j No
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Community Guide Web Survey of STLT Email Subscribers
27. CDC developed a series of 14 “The Community Guide in Action stories.” Have you
seen the series? [Titles in the series include the following: Black Corals: A Gem of a
Cancer Screening Program in South Carolina; Blueprint for Success in Preventing
Tobacco Use, Communitywide Effort to Make Florida Tobacco Free; Creating Walkable
Communities in Rural North Carolina; An Evidencebased Approach to Montana’s Health
Landscape; Evidencebased Recommendations Get Minnesotans in the Groove; A Good
Shot: Reaching Immunization Targets in Duval County; Investing in Worksite Wellness for
Employees; Lowering Legal Blood Alcohol Limits Saves Lives; Maryland Businesses
Support Worksite Wellness Effort to Combat Chronic Disease; Mobilizing Funding
Support to Battle Overweight and Obesity; Planning a Strategy: Changing the Way a
County Health Department Addresses Health Conditions; Rural Community Works
Together to Stay “Fun and Fit”; Screening New Yorkers to Save Lives]
j Yes
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j No
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Community Guide Web Survey of STLT Email Subscribers
28. Where did you first see this product?
j Website
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n
j Conference or Exhibit
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n
j Training, Webinar, or Workshop
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n
j Received from colleague
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j Other (please specify)
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29. The goal of the success stories is to provide examples of how The Community Guide is
used in realworld settings. To what extent did they meet that goal?
j Very well
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n
j Somewhat well
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n
j Not at all
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n
30. Would you recommend this product to a colleague or peer?
j Yes
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n
j No
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n
31. Have you shared this product with your colleagues or peers?
j Yes
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n
j No
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n
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Community Guide Web Survey of STLT Email Subscribers
32. How can we make any of the products of The Community Guide more useful to you?
5
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Community Guide Web Survey of STLT Email Subscribers
The Community Preventive Services Task Force (Task Force) is an independent, nonfederal, unpaid body, appointed by the Director of the
Centers for Disease Control and Prevention, to provide evidencebased recommendations about community preventive services, programs,
and policies. These evidencebased recommendations and other findings are presented in The Community Guide. We’d like to learn more
about your experiences using Task Force recommendations or other findings from The Community Guide Website in your work.
33. Have you used any of the Task Force recommendations or other findings from The
Community Guide website in your work?
j Yes
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j No
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n
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Community Guide Web Survey of STLT Email Subscribers
34. For each item, please rate how useful you found the Task Force recommendations or
other findings. If you did not use Task Force recommendations or other findings for that
purpose, please select “Did not use for this purpose.”
Did not use for this purpose
Very useful
Somewhat useful
Not at all useful
Foster dialogue
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j
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j
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j
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Develop policies
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j
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j
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j
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Mobilize communities
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j
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Inform research priorities
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Educate
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Evaluate
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j
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j
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j
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Support funding proposals
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j
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j
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j
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Program planning
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j
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j
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j
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Justify existing programs
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j
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and decisions
Other (please specify)
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Community Guide Web Survey of STLT Email Subscribers
35. What suggestions do you have for making the Task Force findings more useful?
5
6
36. Do you have plans to use Task Force recommendations or other findings in the next 12
months?
j Yes
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j No
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n
37. Would you want to receive information about The Community Guide website through
social media channels?
j Yes
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j No
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n
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Community Guide Web Survey of STLT Email Subscribers
38. From which social media sites would you prefer receiving Community Guide website
updates, news, etc.? (Check all the apply)
c Twitter
d
e
f
g
c Facebook
d
e
f
g
c LinkedIn
d
e
f
g
Other (please specify)
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Community Guide Web Survey of STLT Email Subscribers
39. Would you want an opportunity to share uses of The Community Guide website
features with others?
j Yes
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n
j No
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n
Page 19
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |