Participant Information
All fields in this section are required.
1. Work location?
New York State
Vermont
Other State
2. Job position/role?
Biostatistician
Bioterrorism Coordinator
Community Outreach/Field Worker
Dentist
Elected Government Official
Emergency Management (e.g., FEMA, civil defense)
Environmental Engineer/Scientist/Specialist
Environmental Engineering/Protection Technician
Epidemiologist
First Responder (e.g., EMT, paramedic, fire, rescue, HazMat)
Health Administrator
Health Educator or Trainer
Health Information Systems/Data Analyst
Health Planner/Researcher/Analyst
Home Health Aide/Medical Assistant
Hospital Administrator/Management
Infection Control/Disease Investigator
Law Enforcement (e.g., police, state patrol, FBI)
Law/Judicial/Attorney
Mental Health/Substance/Behavioral Disorders Counselor
Mental Health/Substance Abuse Clinician
Nurse
Nurse Practitioner/Physician Assistant
Nutritionist/Dietitian
Occupational Health and Safety Technician
Other Public Health Technician
Pharmacist
Physician
Psychiatrist
Psychologist
Public Health Dental Worker (e.g., hygienist, assistant)
Public Health Laboratory Specialist
Public Health Professional
Public Health Student
Public Information Staff (e.g., media, public relations, liaison)
Social Worker
Support Staff (e.g., administrative assistant, clerk)
Teacher/Faculty
Therapist (e.g., physical, occupational, speech)
Veterinarian
Other
3. Type of organization/work setting?
State health department/jurisdiction
Local health department/jurisdiction
Hospital or community health clinic
College or university
Law enforcement/fire/emergency response
Community-based organization
Business
Other
4. Race/ethnicity?
Hispanic or Latino
Black or African American
Alaska Native
American Indian
Asian
Native Hawaiian or Pacific Islander
White
Other
5. Gender?
Female
Male
6. What format did you use?
Satellite broadcast
VHS video
DVD
Videostreaming
Podcast
Live webcast
Evaluation
All fields in this section are required.
7. I was satisfied with the course overall.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
8. This course enhanced my knowledge of the subject matter.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
9. The course was relevant to what I might be expected to do to (prevent, prepare for, or respond to) an emergency.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
10. The program content supported the objective(s).
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
11. This course provided content that is relevant to my daily job.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
12. I would recommend this course to others.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
Comments
All fields in this section are optional. Type your responses in the boxes provided.
13. What was the most useful or important thing you learned during this program?
14. What suggestions do you have for improving the program?
15. Please offer other topics of interest you would like to learn more about in future Center for Public
Health Preparedness educational activities.
Point of View
16. This program is fair, balanced, and free of commercial bias.
A. Strongly agree
B. Agree
C. Neutral
D. Disagree
E. Strongly disagree
Continuing Education Credits
There is no post-test for this event yet, please check back soon.