Follow-Up Survey - Burmese Immigrants and their Descenda

Biomonitoring of Great Lakes Populations Program III

Form Approved

OMB No. 0923-17IY

Exp. Date xx/xx/201x

Attachment 9b.Follow-up Survey, Burmese Immigrants and their Descendants

The Milwaukee Angler Project

Project Feedback Survey

1. How would you rate the ease of scheduling your in-person appointments? Please circle the response that best represents your experience.

Very easy Easy No Opinion Inconvenient Very inconvenient

2. How would you rate your overall experience as a participant in this project? Please circle the response that best represents your experience.

Outstanding Good Fair Poor Miserable

3. Did you feel you were sufficiently compensated for your time? Yes No

4. Were the project procedures clearly explained to you throughout your clinic visit?

Yes No

If no, please tell us how we can improve our explanations:

5. Were the results of your blood and urine tests easy to understand? Please circle one response.

Very difficult Difficult Neutral Easy Very Easy

Survey continues on the back 

ATSDR estimates the average public reporting burden for this collection of information as 5 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information 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 Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0923-17IY).

6. How useful did you find each of the following project materials?

a. Blood and urine test results letters (please circle one response):

Very useful Somewhat useful No opinion Not useful Did not receive

b. Infographic of study results (please circle one response):

Very useful Somewhat useful No Opinion Not useful Did not receive

c. Public meetings (please circle on response):

Very useful Somewhat useful No Opinion Not useful Did not attend

7. After participating in this study, do you feel more knowledgeable about Wisconsin’s Fish Consumption advisories?

Yes No No change

8. Do you plan to use the information provided in Wisconsin’s Fish Consumption advisories when you eat fish?

Yes No Not sure

Please tell us why or why not:

9. How can we improve our reporting of study results in the future? (For example: simpler explanations or changes in layout)

10. What did you like about participating in this project?

11. What could be improved about this project?