Attachment C– Partner Instrument
Form approved
OMB No. 0920-0879
Expiration Date 03/31/2014
Questions for Partner
Introduction: Thank you for agreeing to participate in this interview to better understand the roles and contributions of CEFOs in the CEFO Program. This interview will last about 30 minutes. All answers will be kept secure and will be used only for the purposes of the case study. It is important that you answer all interview questions based on your experience and perspective of the CEFO and CEFO Program. Before I begin the interview, do you have any questions?
Briefly describe your organization’s work in epidemiology and preparedness and response.
What is the relationship between your organization and the health department?
Probe for:
Collaborate on specific projects/initiatives
Contractual deliverables
Role in public health preparedness and response
How long have you known the CEFO?
□ < 1 year
□ 1-3 years
□ 4-5 years
□ > 6 years
Tell me about what projects you have collaborated on with the CEFO
Probe for:
Description of project
Role of CEFO in the project (initiation, continuity)
Results of the project
Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing the 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 aspects of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Rd, NE, MS D-74, Atlanta, GA 30333; ATTN: PRA (0920-0879).
Has the CEFO facilitated trainings to build capacity for your organization? If so, please explain. If not, would you like the CEFO to be involved in trainings to build capacity?
What has been the CEFO’s most significant contribution to your organization?
Has the CEFO had an influence on your relationship with the state or local health department? Other partners? What has been the result?
How much do you agree or disagree with the following statement:
The CEFO has been successful in meeting the needs of your organization. What specific factors or attributes contributes to the success of the CEFO?
Strongly Agree Disagree Neither Agree or Disagree Agree Strongly Agree
The contributions produced by the CEFO are likely to be sustainable? Please give examples.
Strongly Agree Disagree Neither Agree or Disagree Agree Strongly Agree
The loss of the CEFO would have a negative influence on your organization/department.
Strongly Agree Disagree Neither Agree or Disagree Agree Strongly Agree
Specifically, what influence might the loss of a CEFO have on your organization/department?
Probe for:
What specific needs does the CEFO fill for your organization/department?
Who could fill the role of the CEFO?
What areas would be significantly influenced? Please give examples.
What recommendations do you have for making the CEFO assignment more effective?
Probe for:
What specific aspects of the CEFO assignment can be improved?
What can the state do to support and strengthen the CEFO assignment?
What can the CEFO Program and CDC do to support and strengthen the CEFO assignment?
Do you have additional thoughts or comments?
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Admin1 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |