UNGA 2018 – AMR Side Event – Customer Satisfaction Survey Form Approved
OMB Control No.: 0920-1071
Exp. Date: 2/28/2021
REQUEST TO CUSTOMER—FIRST WAVE:
FROM: CDC Foundation <[email protected]>
TO: POCs from invite list
SUBJECT: 5 questions about the AMR Challenge side event
Dear colleagues,
Thank you for attending the AMR Challenge launch event on September 25.
We would like to hear feedback on your experience at the event, what we can do to improve future events, and how your organization may participate in the AMR Challenge year to combat antimicrobial resistance.
Please take the 5-question survey here: [LINK]
The survey will close [DATE].
On behalf of the U.S. Government and Centers for Disease Control and Prevention, we appreciate your participation in this survey.
Best,
Michael C. Craig, MPP
Senior Advisor for Antibiotic Resistance
Antibiotic Resistance Coordination and Strategy Unit, Centers for Disease Control and Prevention
REQUEST TO CUSTOMER—SECOND WAVE:
FROM: CDC Foundation <[email protected]>
TO: POCs from invite list
SUBJECT: Survey closes in XX days: AMR Challenge feedback needed
Dear colleagues,
This is a reminder that the satisfaction survey about the AMR Challenge side event will close [DATE].
Please take 5 minutes to answer five questions and provide feedback on your experience at the event, what we can do to improve future events, and how your organization may participate in the AMR Challenge year to combat antimicrobial resistance.
Take the survey now: [LINK]
On behalf of the U.S. Government and Centers for Disease Control and Prevention, we appreciate your participation in this survey.
Best,
Michael C. Craig, MPP
Senior Advisor for Antibiotic Resistance
Antibiotic Resistance Coordination and Strategy Unit, Centers for Disease Control and Prevention
SURVEY HOSTED ON:
SurveyMonkey.com
INTRODUCTION:
Thank
you for providing feedback on the U.S. Government and Centers for
Disease Control and Prevention AMR Challenge launch event on
September 25.
The purpose of the survey is to capture
feedback on participants’ experience at the event, what can be
done to improve future events, and how organizations may participate
in the AMR Challenge year to combat antimicrobial resistance.
The
information gathered from this survey will not be published and will
only inform next steps for the AMR Challenge.
PROPOSED QUESTIONS:
Did you attend the AMR Challenge launch event in person at the Roosevelt Hotel on September 25, 2018?
Yes
No (if no, survey will end)
Please select your organization type from the list below. If the types from this list do not represent your organization, please select “Other” and write in what category best describes your organization. (select one)
Academic Institutions and Centers
Agriculture, Meat, and Livestock Associations
Animal and Veterinary Associations
Clinical and Medical Associations
Consumer and Patient Advocates
Digital Platforms
Employers
Environmental and Sanitation Associations
Food Producers and Retailers
Funders
Health IT Companies
Health Payers, Health Insurance Companies
Health Systems, Long-Term Care, Pharmacies
Infrastructure and Utilities
Intergovernmental Organizations
Laboratories
Media and Public Relations
Non-US Governments and Municipalities
Pharmaceuticals, Diagnostics, Vaccines
Standards and Accreditation Bodies
Therapeutics
US Federal Government
US State and Local Government
Other (fill in the blank)
How would you rate your experience at the AMR Challenge side event on September 25, 2018? (select one)
Excellent
Great
Good
Fair
Poor
4a. Is there anything we could improve at future events? (select all that apply)
Pre-event process (e.g., invitations, event promotion)
Event format (e.g., speakers, networking, activities)
Event location
Food and beverage offerings
Other (fill in the blank)
4b. If you selected an item from the list above, please describe how we can improve future events. (fill in the blank)
Of the five commitment areas below, where did (or will) your organization make a commitment to combat antimicrobial resistance? (select all that apply)
Antibiotic Use
Environment and Sanitation
Infection Prevention and Control
Tracking and Data
Vaccines, Therapeutics, Diagnostics
Public
reporting burden of this collection of information is estimated to
average 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 NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA 0920-1071
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Katy Capers |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |