Form 0920-XXXX 2024 Marburg Response Survey of Travelers_English

Department of Health and Human Services  Version 11/14/2024  
Centers for Disease Control and Prevention   
Form Approved  

OMB Control No: 0920-XXXX  

Exp. Date: XX/XX/XXXX 

Marburg Feedback Questionnaire for Travelers

The U.S. Centers for Disease Control and Prevention (CDC) is asking for your feedback to help us improve the public health entry screening process. Filling out this questionnaire is voluntary and optional. It should take 5 to 10 minutes to complete. Your responses are anonymous.

This questionnaire is about public health entry screening conducted at three U.S. airports: John F. Kennedy International Airport (JFK), New York; Chicago O'Hare International Airport (ORD), Illinois; or Washington-Dulles International Airport (IAD), Virginia. The screening was to identify travelers from Rwanda entering the United States with Marburg symptoms or who may have been exposed to Marburg while in Rwanda.

1. On a scale of 1 (uninformed) to 5 (very well-informed), how informed did you feel about the public health entry screening process before your flight to the U.S.? [build in skip pattern to go to a or b]

1 2 3 4 5

Not all informed Somewhat informed Very well informed

1. If 3-5 is selected: How did you learn about the public health entry screening process before your flight to U.S.?

2. If 1-2 is selected: In the future, who would you like to receive this information from before you travel to the United States?

   1. Airline

   2. CDC

   3. U.S. Department of State/ U.S. Embassy

   4. Travel agent

   5. Other [free text]

2. What issues (if any) did you experience during the public health entry screening process? Select all that apply.

   1. None.

   2. I was not aware I would have to go through entry screening.

   3. I was screened even though I was not in Rwanda.

   4. My flight was rebooked to a different airport than where I planned to arrive.

   5. Costs (rebooking fees, hotels).

   6. Travel delays (missed connections).

   7. Screening took too long.

   8. Other: ____________

3. Please share any information about your experience with public health entry screening that will help us improve.

4. Were the text messages you received from U.S. Public Health easy to understand? Scale of 1 (not easy) to 5 (very easy)

1 2 3 4 5

Not all easy Somewhat easy Very easy

5. What did you like about the text messages? What didn’t you like?(note for developer: one free text field for both questions)

6. Did you try to contact a U.S. health department (state, local or territorial) for any reason?

   1. No

   2. Yes

      1. Were you able to reach them?

7. In general, how would you like to receive health information about actions to take after being in an outbreak area in another country, such as monitoring your health and what to do if you get sick? Select up to 4 in your order of preference.

1. Text messages (similar to the messages you received from U.S. Public Health)

2. Email

3. Automated, recorded phone call

4. Paper handout

5. Printed or digital poster at the airport

6. Audio announcement on the plane or in the airport

7. Social media

8. Website

9. Radio

10. Newspaper

11. TV

12. Other: __________

8. On a scale of 1 (not at all) to 5 (definitely) how likely is it that you would complete a public health entry screening online questionnaire if it were offered instead of the current in-person process?

1 2 3 4 5

Unlikely Somewhat likely Very likely

9. What is your usual country of residence?

1. Rwanda

2. United States

3. Another country

Thank you so much for providing feedback to help improve our processes in the future.

Public reporting burden of this collection of information is estimated to average 10 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, Reports Clearance Officer, 1600 Clifton Rd., MS H21-8, Atlanta, GA 30333, ATTN:  PRA (0920-XXXX).