SVIS - Immunization Info Systems Assessment

ATTACHMENT – F: Online Instrument - Web

Immunization Information Systems Examination of Services and Value Assessment

Question 1 Dropdown Menu Choices:

• Optimally performs this function

• Adequately performs this function

• Marginally performs this function

• Does not performs this function

Question 2 Dropdown Menu Choices:

What is the relative level of effort/cost to produce these reports (e.g. staff time, financial costs)?

• Very low

• Low

• Medium

• High

• Very high

• Not applicable

• Don’t know

How valuable are these reports to your IIS in fulfilling program requirements?

• Very low

• Low

• Medium

• High

• Very high

• Not applicable

• Don’t know

How valuable are these reports to stakeholders?

• Very low

• Low

• Medium

• High

• Very high

• Not applicable

• Don’t know

Question 4 Dropdown Menu Choices:

• 1 – Very unfeasible

• 2 – Unfeasible

• 3 – Mix of feasible and unfeasible

• 4 – Feasible

• 5 – Very feasible

Question 4 Dropdown Menu Choices:

• 1 – Very unfeasible

• 2 – Unfeasible

• 3 – Mix of feasible and unfeasible

• 4 – Feasible

• 5 – Very feasible

Question 6 Dropdown Menu Choices:

• 1 – Very unfeasible

• 2 – Unfeasible

• 3 – Mix of feasible and unfeasible

• 4 – Feasible

• 5 – Very feasible

Question 21 Dropdown Menu Choices:

• Yes

• No

• Don’t Know

• Not Applicable