Customer Satisfaction and Usability of Technical Packages for Violence Prevention

Instrument - Word

Form Approved

OMB No. 0920-1009

Exp. Date: 2/29/2020

Public Reporting burden of this collection of information is estimated at 5 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 NW, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-1009).

Thank you for downloading one of the technical packages. As a way to monitor the uptake of the technical packages and better serve the public, we are requesting that you please complete a voluntary, brief 5-question survey. We appreciate your time and effort.

1. Please indicate what type of organization you are affiliated with:

• Local Business

• Community-based Organization

• Education (check one)

• Preschool

• Elementary school

• Middle school

• High school

• College or university

• Other (please specify)

• General Population

• Government (check one)

• Local Health Department

• State Health Department

• Housing/urban development

• Social Services

• Criminal Justice

• Parks and Recreation

• Other (please specify)

• Public or Private Healthcare

• Library

• Media  

• Professional Organization

• Other (please describe)

2. What is your violence prevention focus area? [Please check all that apply]

• Child abuse and neglect

• Teen dating violence

• Intimate partner violence

• Sexual violence

• Suicide

• Youth crime and violence

• Elder abuse

• Other, please specify

3. How did you find out about the Technical Packages website?

• CDC announcement

• Social media

• Search engine

• Referral or links from other sites

• Referral from a colleague

• Media/news story

• Site bookmarked

• Email subscriptions/RSS feeds

• Webinar/conference presentation

• Don’t know/Not sure

• Other, please describe

4. Which one of the technical packages are you downloading? [Please check all that apply]

• Preventing Intimate Partner Violence Across the Lifespan: A Technical Package of Programs, Policies, and Practices

• Preventing Suicide: A Technical Package of Policy, Programs, and Practices

• A Comprehensive Technical Package for the Prevention of Youth Violence and Associated Risk Behaviors

• STOP SV: A Technical Package to Prevent Sexual Violence

• Preventing Child Abuse & Neglect: A Technical Package for Policy, Norm, and Programmatic Activities

• All of them

5. Which of the following best describes how you will use the Technical Package(s)? [Please check all that apply]

• To inform my own work in violence prevention

• To share information about violence prevention with interested stakeholders from other organizations

• To share information about violence prevention with decision-makers in my city or state

• To help with preparing a grant application

• To help select evidence-based strategies to prevent violence in my community

• To learn more about violence prevention in general

• To gather content for training/education materials

• Other, please describe

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