O MB #: 0970-0401
Expiration Date: 5/31/2021
2019 Reader Feedback: Brush Up on Oral Health
Brush Up on Oral Health (BUOH) is a monthly tip sheet designed to provide Head Start staff and others with information on current practice and practical tips to promote good oral health. Please tell us what you think about BUOH and how you use it. We also want to know about what topics you would like to learn more about and your ideas on how to improve the tip sheet.
Have you used the information on Brush Up on Oral Health?
Yes
No
If yes, check all that apply
Personal education
Information shared with Head Start staff (for example, at staff trainings, in newsletter, at meetings)
Ideas for classroom activity
Developed/updated program policy
Prepared a recipe
Other (please specify)
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Has the information in the tip sheet lead to a policy or program change?
Yes
No
If yes, please describe.
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Have you accessed educational materials (clicked links) in the tip sheet?
Yes
No
If yes, have you shared any of the educational materials in English with families?
Yes
No
If yes, have you shared any of the educational materials in Spanish with families?
Yes
No
Have you shared the tip sheet with others?
Yes
No
If yes, check all that apply.
Head Start program director
Head Start family service coordinator
Head Start health manager
Head Start home visitor
Head Start teacher
Head Start state collaboration office staff
State Head Start association staff
WIC program staff
Child care provider
Dental provider and office staff
Pediatrician and office staff
Other (please specify)
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How many people do you send the tip sheet to each month?
1–10
11–25
26–99
100 or more
What topics would you like to see addressed in the tip sheet in the future?
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What suggestions do you have for improving the tip sheet?
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What is the state or territory where you work?
State:
What is your position?
Dental hygienist liaison
Head Start program director
Head Start family service coordinator
Head Start health manager
Head Start home visitor
Head Start program manager
Head Start teacher
Oral health program administrator
Oral health provider
Other (please specify)
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If you work with Head Start, what type of program are you affiliated with? Check all that apply.
Early Head Start home-based
Early Head Start center-based
Head Start
American Indian/Alaska Native Head Start
Migrant and Seasonal Head Start
Paperwork Reduction Act Burden Statement: This collection of information is voluntary. Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, 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.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Microsoft Office User |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |