Form 0920-17FC Genomics Survey for Webinar 2016_11_18

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Genomics Survey for Webinar 2016_11_18.xlsx

Implementing Public Health Genomics in Your State: Resources from CDC Office of Public Health

OMB: 0920-0974

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Please provide your feedback by completing this 10-15 min. survey. The CDC Office of Public Health Genomics will use this information to improve its resources. Your participation in this survey is completely voluntary and anonymous.








If you have any questions or technical difficulties while taking the survey, please contact James O'Leary ([email protected]).










DEMOGRAPHICS


1 Question In what sector is your primary profession?

Answer (Multiple choice/multiple answers) (Choose all that apply)


Clinical Healthcare


State or Local Public Health Agency


Academia: Faculty / Researcher / Staff / Student


Federal Health Agency: CDC


Federal Health Agency: Other


Community Organization
2 Question: What is your position/job title?






Answer(Short Answer)










3 Question: Please provide the name of the State in which your primary physical work is found.






Answer(Short Answer)
AWARENESS








4 Question: BEFORE the webinar, which CDC Office of Public Health Genomics resource(s) were you aware of? Choose all that apply
Answer (Multiple Choice/Multiple Answers) Public Health Genomics Knowledge Base
Tier Table Database
Tier 1 Genomic Applications Toolkit for Public Health Departments
State Genomics Implementation Map
CDC Office of Public Health Genomics Website
None of the Above










USAGE








5 Question: In the past 12 months, how often have you used the CDC Office of Public Health Genomics website?
Answer (Multiple Choice, One Answer) Daily
Weekly
Monthly
A few times per year
At least once per year
Never
Don't Know
Not Applicable/Not needed for my work










6 Question: In the past 12 months, how often have you used the Public Health Genomics Knowledge Base?
Answer (Multiple Choice, One Answer) Daily
Weekly
Monthly
A few times per year
At least once per year
Never
Don't Know
Not Applicable/Not needed for my work










7 Question: In the past 12 months, how often have you used the Tier Table Database?
Answer (Multiple Choice, One Answer) Daily
Weekly
Monthly
A few times per year
At least once per year
Never
Don't Know
Not Applicable/Not needed for my work










8 Question: In the past 12 months, how often have you used the Tier 1 Genomic Applications Toolkit for Public Health Departments?
Answer (Multiple Choice, One Answer) Daily
Weekly
Monthly
A few times per year
At least once per year
Never
Don't Know
Not Applicable/Not needed for my work










9 Question: In the past 12 months, how often have you used the State Genomics Implementation Map?
Answer (Multiple Choice, One Answer) Daily
Weekly
Monthly
A few times per year
At least once per year
Never
Don't Know
Not Applicable/Not needed for my work










INTENT TO USE








10 Question I intend to access the Office of Public Health Genomics website in the future.






Answer (Multiple Choice, One Answer) Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Not Applicable/Not Needed for my work










11 Question I intend to use the Public Health Genomics Knowledge Base in the future.






Answer (Multiple Choice, One Answer) Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Not Applicable/Not Needed for my work










12 Question I intend to use the Office of Tier Table Database in the future.






Answer (Multiple Choice, One Answer) Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Not Applicable/Not Needed for my work










13 Question I intend to use the Tier 1 Genomic Applications Toolkit for Public Health Departments in the future.






Answer (Multiple Choice, One Answer) Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Not Applicable/Not Needed for my work










14 Question I intend to use the State Genomics Implementation Map in the future.






Answer (Multiple Choice, One Answer) Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Not Applicable/Not Needed for my work










BARRIERS TO USE








15 Question What barries have limited you from using the CDC Office of Public Health Genomics resources?






Answer (Multiple Choice, multiple answers and short answer) The website does not offer the type of information that I need
I was not aware of the resources
I am not aware of how the resources will be applicable to my current job function
I could not find the resources on the CDC Office of Public Health Genomics website






I found the resources confusing






I did not understand how to use the resources






I do not have any extra time during my work schedule to utilize the CDC Office of Public Health Genomics website
I have not encountered any barriers
Don't Know






























16 Question: Please provide suggesstions for improvement or additions to the Office of Public Health Genomics website.
Answer(Short Answer)










17 Question: Please provide suggestons for improvement or additions to the Public Health Genomics Knowledge Base.






Answer(Short Answer)










18 Question: Please provide suggestons for improvement or additions to the Tier Table Database.






Answer(Short Answer)










19 Question: Please provide sugestions for improvement to the Tier 1 Genomic Applications Toolkit for Public Health Departments.






Answer(Short Answer)










20 Question: Please provide suggestion for improvement to the State Genomics Implementation Map.






Answer(Short Answer)










21 Question: What additional online resources would be useful for the CDC Office of Public Health Genomics to provide?






Answer(Short Answer)










22 Question Please provide information about activities in your state related to the following:







Family health history of breast or ovarian cancer

Family health history of colorectal or endometrial cancer

Family history of heart disease

Hereditary breast and ovarian cancer screening/testing

Hereditary colorectal and endometrial cancer screening/testing or Lynch syndrome screening/testing

Familial hypercholesterolemia screening/testing

Genetic counseling or testing for BRCA1 and BRCA2 mutations or other mutations associated with hereditary breast or ovarian cancer

Genetic counseling or testing in the mismatch repair genes (MLH1, MSH2, MSH6, and PMS2), the EPCAM gene, or other mutations associated with colorectal cancer

Tumor screening for Lynch syndrome using microsatellite instability testing or immunohistochemical staining for the mismatch repair proteins (MLH1, MSH2, MSH6 and PMS2) among newly diagnosed colorectal cancer patients

Any other genomics-related activities that you would like to share with us
Answer (Short Answer)
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