Form 9600-034 Understanding Lead Post-Survey

OMB Control No. 2030-0051

Expiration Date 5/31/2024

 Understanding Lead Post-Survey

 

This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). Responses to this collection of information are voluntary (40 CFR §745). 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. The public reporting and recordkeeping burden for this collection of information is estimated to range from five to fifteen minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.  

 

This survey is anonymous, and EPA will use your answers solely to modify our outreach and future webinars. We will not share this information with any third party. 

 

Thank you for your recent attendance at an Understanding Lead session. As a follow-up to your participation, EPA has designed a short survey to help gather information about your experience. Thank you for taking the time to answer our questions. We will use this information to improve our future sessions.  

 

Survey Questions: 

 

1. In which community are you located? 

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2. How well informed are you about the risk of lead exposure and lead poisoning in your community? 

   1. Scale: 1 (Not informed) – 2 (Slightly informed) – 3 (Moderately informed) – 4 (Well informed)   

 

3. How familiar are you with lead poisoning prevention efforts in your community? 

   1. Scale: 1 (Not familiar) – 2 (Slightly familiar) – 3 (Moderately familiar) – 4 (Very familiar)  

4. Which actions are you aware of to help prevent potential lead exposure?

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5. Of the actions you listed above, which would be the easiest for you to use in your home and/or community? 

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6. How clear was the information presented in the Understanding Lead session?

   1. Scale: 1 (Not clear) – 2 (Slightly clear) – 3 (Moderately clear) – 4 (Very clear)  

7. How engaging was the session instructor?

   1. Scale: 1 (Not engaging) – 2 (Slightly engaging) – 3 (Moderately engaging) – 4 (Very engaging)  

8. What one or two recommendations do you have for improving future Understanding Lead sessions?

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Thank you for taking the time to fill out this survey! For more information about lead, please visit: https://www.epa.gov/lead   

 

 

EPA Form: 9600-034