Emergency Risk Communication Network Needs Assessment

Attachment A: Needs Assessment Survey

E

Form Approved

OMB No. 0920-0798

Exp.Date 01/31/2011

mergency Risk Communication Network Needs Assessment

-- Member Feedback for Project Management and Development --

Public reporting burden of this collection of information is estimated to average 12 minutes per response, including 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 Information Collection Review Office,

1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333: ATTN: PRA (0920-0798).

INTRODUCTION AND INSTRUCTIONS FOR COMPLETING SURVEY:

To provide better service and management of the Emergency Risk Communication Network, the Emergency Risk Communication Branch (ERCB) of the Centers for Disease Control and Prevention (CDC) requests your feedback concerning The Risk Communicator. We value your insights and experiences, and will use your input and suggestions to update the newsletter and provide the best networking activities possible.

The form contains questions with several response options and areas for your comments. All responses will be grouped for reporting; your individual survey results are confidential.

Section I: Demographics:

1. Today’s Date: ______________________

2. Your highest Level of education:

___ High School Diploma

___ A.A. Degree

___ B.A. / B.S. Degree

___ M.A. / M.S. Degree

___ PhD / MD Degree

___ Other – please specify: _________________________________________

3. Discipline of Study / Expertise (please select one):

___ Health Communication

___ Health Education

___ Healthcare / MD / RN

___ Epidemiology

___ Other – please specify: ­­­­­­­­­­­­­­________________________________________

4. Your affiliation (please check the most representative selection):

___ Local health department

___ State health department

___ Nonprofit organization

___ College or university

___ Federal organization

___ Faith-based organization

___ Private sector organization

___ Other – please specify: ________________________________________

5. Your Role/Profession: (please check the most representative selection):

___ Communication Specialist

___ Public Information Officer

___ Health Educator

___ Epidemiologist

___ Emergency Response Coordinator

___ Medical Professional

___ Other – please specify: ________________________________________

6. How long have you been working in Public Health Communication? ___ years

Section II: Experience with The Risk Communicator (RC)

7. Which issues of The Risk Communicator (RC) have you seen? (Check all that apply)

___ None (skip to Question 19)

___ Issue One

___ Issue Two

___ Issue Three

8. Where did you get The Risk Communicator?

___ I’m on the membership list to receive the newsletter

___ I received it from a colleague

___ Through an Internet search

___ Don’t remember

___ Other – please describe: _______________________________________

9. Did you read The Risk Communicator online or in printed format?

___ Online

___ Print (Skip to Question 11)

10. How many of the links did you follow for more in-depth information?

___ none

___ a few

___ several

___ many

___ all

11. What was your overall impression of The Risk Communicator newsletter?

___ Completely dissatisfied

___ Somewhat dissatisfied

___ Neutral

___ Somewhat satisfied

___ Completely satisfied

12. Please rate the format of the newsletter in terms of:

	Poor	Acceptable	Good	Excellent	NA
a. Organization of materials/structure
b. Accessibility
c. Overall “look” (aesthetics)
d. Ease of navigation (if read online)
e. Length

13. Please use the following scale to rate the extent to which ….

1 – Not At All 2 – A Little 3 – Somewhat 4–Very Much NA – Not Applicable

	1	2	3	4	NA
a. Topics were of interest / concern
b. Topics were relevant and useful
­­c. Topics were clearly presented
d. The information was accurate / reflects your experience
e. The information was practical
f. The information was timely
g. The information was clearly presented
h. You are interested in seeing future issues of the newsletter
Comments:

14. Have you used any of the information?

___ No

___ Yes – please describe what information you have used and how you have used it: _________________________________________________________

__________________________________________________________

15. Do you have plans to use any of the information in the future?

___ No

___ Yes – please describe what material you plan to use and how you will use it: ___________________________________________________________________

16. Did you disagree with any of the information?

___ No

___ Yes – please describe the information you disagree with and explain why: ___________________________________________________________________

17. Is the presentation style appropriate for the audience?

___ Yes;

___ No If no, how could it be improved?______________________________

________________________________________________________

18. Have you shared the newsletters or any part of them with others?

___ No

___ Yes – please describe the information you have shared: ________________________________________________________________

19. What content or information would you like to see covered in future newsletters?

________________________________________________________________

________________________________________________________________

20. What tools or other resources would you like to see provided in future newsletters?

________________________________________________________________

________________________________________________________________

21. Please use the following scale to rate the extent to which you would use the following presentation formats if they were created and hosted by CDC?

1 – Not At All 2 – A Little 3 – Somewhat 4–Very Much DK – Don’t Know

	1	2	3	4	DK
a. Facebook
B, Twitter
­­c. RSS Feeds
d. Other – please describe
e. Other – please describe
f. Other – please describe
Comments:

22. The original intent of the Risk Communication Network was for an interactive partnership (i.e. an exchange of risk communication ideas, experiences, and successful practices)

1. To what extent are you interested in a more interactive approach?

___ Not at all

___ A little

___ Somewhat

___ Very Much

2. Do you have material you would like to share through the newsletter?

___ No

___ Yes – please describe the information or type of information you would like to share: __________________________________________

__________________________________________________________

__________________________________________________________

3. To what extent would you like to be involved in future network activities?

___ Not at all

___ A little

___ Somewhat

___ Very Much

If Somewhat or Very Much, please describe how you would like to participate: _________________________________________________

__________________________________________________________

__________________________________________________________

23. How should CDC advertise The Risk Communicator newsletter? ________________________________________________________________

________________________________________________________________

24. Do you know others who might be interested in participating in the network?

___ No

___ Yes – How may we contact them?

_______________________________________________________________

Thank you for completing this form.