Survey - word

Attachment1_FeedbackSurvey_FINAL_Cleared_120716.docx

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

Survey - word

OMB: 0920-0974

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Form Approved

OMB No. 0920-0974

Expiration Date: 10/31/2019


Customer Service Feedback Survey of 2017 NSSP Annual Grantee Meeting



General Meeting Feedback

From an overall perspective, please indicate whether this meeting met your expectations:

Met expectations

Neutral

Did not meet expectations

NA/ Did not attend



Please indicate what you liked most about the meeting.




Please indicate how the meeting, as a whole, could be improved.




Please indicate topic areas/ areas of need that you would like further guidance on from CDC and/ or other grantees.














Session Feedback

Please indicate your level of agreement with the following statements regarding the meeting sessions:

I was satisfied with each of the following sessions

Session

Strongly agree

Agree

Neutral

Disagree

Strongly disagree

NA/ Did not attend

ESSENCE Beginner Training







ESSENCE Intermediate/ Advanced Training







National Syndromic Surveillance Program (NSSP) Future Steps







Meaningful Use Overview







NSSP Success Stories from the Field







State Collaboration and Partnership Strategies







Community of practice







NSSP Grantee Guidance







Annual Progress Report Results







Supporting Data and Tools Used to Generate Measures for Reporting







Representativeness and Recruitment Roundtable







Syndromic Surveillance Practice Roundtable







Data Quality Roundtable







Data Sharing Roundtable







Poster Session







Breakfast and Networking











Please indicate how any of these sessions could be improved. Please include the particular session the comment is in reference to.








Please indicate topics/ issues around which you would like to see sessions/ discussion organized in future grantee meetings










Logistics Feedback



Please indicate your level of satisfaction with the following logistical components of the meeting.

Logistical component

Very Satisfied

Satisfied

Neutral

Unsatisfied

Very Unsatisfied

Transportation






Housing/ Accommodations






Meeting Location






Learning Environments






Meeting AV








Please indicate ways in which we can improve the meeting in terms of logistics.








Please provide any additional comments or suggestions in regards to the meeting.




The public reporting of this collection of information is estimated to average 10 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 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 (0920-0974).

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