ASPR TRACIE Webinar Polling

Form Approved

OMB No. 0990-0379

Exp. Date 09/30/2020

Attachment A: Sample Webinar Poll Questions

The following list of poll questions provide a sample of the types of questions that may be asked of ASPR TRACIE webinar participants. Note that the number and content of the poll questions may vary based on the nature of the webinar topic and audience.

1. What sector do you represent?

   1. State/Local/Tribal/Federal Government

   2. Healthcare Entity

   3. Healthcare Coalition

   4. Private/Non-Profit Organization

   5. Academia

   6. Other

2. Why did you decide to join this webinar today?

   1. Knowledge building

   2. Speaker line-up

   3. Recommended by colleague

   4. Other

3. How helpful did you find the content of this webinar?

   1. Very helpful

   2. Somewhat helpful

   3. Neither helpful nor unhelpful

   4. Barely helpful

   5. Not helpful at all

4. Before the webinar, how familiar were you with [subject/topic area]?

   1. Very familiar

   2. Somewhat familiar

   3. Not at all familiar

5. To what extent do you agree with the following statement: The webinar provided me with information on new and innovative ideas or resources.

   1. Strongly agree

   2. Agree

   3. Neither agree nor disagree

   4. Disagree

   5. Strongly disagree

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 1 minute per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Office.

6. To what extent do you agree with the following statement: After viewing the webinar, I feel better equipped to plan for or respond to [subject/topic area].

   1. Strongly agree

   2. Agree

   3. Neither agree nor disagree

   4. Disagree

   5. Strongly disagree

7. Have you previously participated in an ASPR TRACIE webinar or used resources available on ASPR TRACIE’s website?

   1. Yes, I have participated in a webinar

   2. Yes, I have used online resources

   3. Yes, I have participated in a webinar and used online resources

   4. No, I have not participated in a webinar nor used online resources

8. In a few words, what topic would you like to see addressed in a future ASPR TRACIE webinar?

9. In a few words, what topic would like to see addressed in a future ASPR TRACIE resource?

10. In a few words, how could today’s webinar be improved?

11. How satisfied were you with the format of the webinar?

    1. Very satisfied

    2. Satisfied

    3. Neither satisfied nor dissatisfied

    4. Dissatisfied

    5. Very dissatisfied

12. Has your organization conducted [exercises/trainings/preparedness, response, or recovery efforts] for [subject/topic area]?

    1. Yes

    2. No

    3. I don’t know

13. Has your organization engaged with community partners in [planning/exercising/training] for [subject/topic area]?

    1. Yes

    2. No

    3. I don’t know

14. To what extent do you agree or disagree with the following statement: My organization has the staffing, resources, and expertise to sufficiently plan, respond, and recover from [subject/topic area].

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

15. To what extent do you agree or disagree with the following statement: My organization’s leadership supports planning, exercising, and training efforts for [subject/topic area].

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

16. To what extent do you agree or disagree with the following statement: I know where to look for resources online or in my community to help me successfully and effectively plan for [subject/topic area].

    1. Strongly agree

    2. Agree

    3. Neither agree nor disagree

    4. Disagree

    5. Strongly disagree

17. In a few words, what is the biggest challenge for planning for, responding to, or recovering from [subject/topic area]?

18. How likely are you to recommend an ASPR TRACIE webinar to a friend or colleague?

    1. Very likely

    2. Somewhat likely

    3. Neutral

    4. Somewhat unlikely

    5. Very unlikely