Form Approved
OMB Control No. 0920-1071
Exp. Date: 06/30/18
Data Collection Instrument 3: Post-Exhibit Face to Face Survey
A. Exposure and Background
If the respondent is eligible to participate in the Post-Exhibit Face to Face Survey, proceed with the following questions:
1. Which sections did you view? Check all that apply
Scene 1: Seeking safety
Scene 2: Life as a refugee
Scene 3: Preparing for resettlement
Scene 4: New Beginnings
Don’t Know/Remember
2. How many times have you visited the Exhibit?
3. In total, about how much time have you spent viewing the Exhibit? ____ Minutes
4. Did you talk with any Exhibit staff or refugee health professionals while you were there? Yes/No/Don’t Know or remember
5. Do you currently work in the field of refugee health? (If yes, skip next question.)
6. What is your primary area of interest?
Bacteriology / Clinical Tropical Medicine / Entomology / Global Health / Parasitology – Clinical /
Parasitology - Molecular and Cellular / Virology / Other
7. What is your professional role?
Administration/Executive / Clinical / Prevention and Control / Research / Teaching / Other
8. What is your primary work setting?
Academia / CDC / Consultant / FDA / For-Profit / HHS / Local Government / NIH / Non-Profit / Post-Doc/Fellow/Student / Private Practice / Retired / State Government / USAID / Other
9. Please tell me your level of interest in working in the refugee health field in the future. It’s ok to say “I don’t know.” 4-point Likert scale: Very interested to Not at all interested / Unsure
10. Are you currently a student, Post-Docs, Medical Resident or Fellow?
B. Awareness, Knowledge, and Attitudes
Read: The first few questions are about your understanding regarding a few refugee health topics. It’s ok to not know, please answer as best you can.
1. Please share with me your understanding of how the UN High Commission on Refugees defines a refugee. (Open-ended. Must include 2 of 3 concepts: 1) crossed international border, 2) unable to return home, 3) persecution due to race, religion, nationality, political opinion, or social group.)
2. Across the globe, the number of refugees, asylum seekers, and internally displaced people is estimated to be:
2.5 million / 15 million / 35 million / 65 million
3. For U.S. bound refugees, what is the average processing time between referral for resettlement and admission to the United States?
6-9 months / 9-12 months / 18-24 months / 24-36 months
4. Are vaccinations required as part of the overseas medical assessment for U.S.-bound refugees? Yes / No
5. Refugees receive a medical exam before they leave for U.S. resettlement. What screenings are part of this exam? You can select from this list.
Hepatitis screening / syphilis and gonorrhea screening / Drug screening / Mental health screening /Hansen’s disease (leprosy) screening / Cholesterol screening
6. Upon arrival, domestic resettlement agencies provide basic necessities and core services for a period of time following resettlement. How long is that period?
1-2 weeks / 1-3 months / 1 year / 2 years
Read: Thanks. We are over half way done! The next few questions ask you how much you agree or disagree with statements about refugees and the field of refugee health. Each one can be answered on a scale where 1 is strongly agree and 4 is strongly disagree.
7. It is important that health providers serving refugee communities are culturally and linguistically competent. 4-point Likert scale: Strongly Agree to Strongly Disagree
8. It is important to start providing care to refugees before they leave for the United States. 4-point Likert scale: Strongly Agree to Strongly Disagree
9. I am aware that CDC has issued guidelines for domestic medical screening for newly arriving refugees to the United States. 4-point Likert scale: Strongly Agree to Strongly Disagree
10. There is a cohesive, evidence-based scientific body of knowledge that supports the provision of health services to refugees. 4-point Likert scale: Strongly Agree to Strongly Disagree
11. CDC is a trusted leader in the science and practice of refugee health. 4-point Likert scale: Strongly Agree to Strongly Disagree
12. I believe that my current professional work can contribute to improving refugee health. 4-point Likert scale: Strongly Agree to Strongly Disagree
13. I feel connected to the experience of refugees. 4-point Likert scale: Strongly Agree to Strongly Disagree
Read: Thank you very much for your time. Do you have any questions? I hope you have a chance to attend the exhibit “The Refugee Journey to Wellbeing” over the next week. Have a good meeting.
End survey.
C. Exhibit Feedback
Read: We’ve come to the last section. We have a few questions about your experience and opinions about the exhibit.
1. The exhibit held my attention. 4-point Likert scale: Strongly Agree to Strongly Disagree
2. The exhibit helped me imagine myself in a refugee’s shoes. 4-point Likert scale: Strongly Agree to Strongly Disagree
3. I feel more connected to the experience of refugees after going through the Exhibit . 4-point Likert scale: Strongly Agree to Strongly Disagree
4. The Exhibit increased my knowledge about of refugee health. 4-point Likert scale: Strongly Agree to Strongly Disagree
5. After going through the Exhibit, I have a greater understanding of how my current public health practice relates to refugee health. 4-point Likert scale: Strongly Agree to Strongly Disagree
6. The use of technology enhanced my Exhibit experience. 4-point Likert scale: Strongly Agree to Strongly Disagree
7. The amount of information presented was (select one): Just right / Too much / Not enough
8. I would recommend the Exhibit to other meeting attendees. 4-point Likert scale: Strongly Agree to Strongly Disagree
9. I plan to go back to the exhibit before the Annual Meeting concludes. 4-point Likert scale: Strongly Agree to Strongly Disagree
10. What did you like about the Exhibit?
11. What did you not like about the Exhibit?
12. Do you have any recommendations about how the exhibit be improved or how to show the Exhibit in the future?
Read:
For those who are not eligible: Thanks for being willing to talk w me. But this survey is only for those who have attended the Exhibit. We hope you have a chance to see it. Have a good meeting.
For those who complete the survey: Thank you very much for your time. Do you have any questions? Have a good meeting.
End survey.
Public reporting burden of this collection of information is estimated to average 7 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 D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1071
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