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Let's hear your opinion of the Asthma
in New Jersey Update 2006!
Your opinion is very important to us. So please help us to improve this and other publications by taking a few minutes of your time to answer the following questions.
1. Please indicate your work setting or reason for interest in the report.
State/local health department Other public health setting
Acute care hospital Hospital clinic/private practice/FQHC
Academic institution Health maintenance organization
Non-profit organization Personal interest in asthma
Other (please specify):
 
2. Which best describes your professional or personal asthma-related activities? (Please check all that apply)
Public health Administration and planning
Research/data analysis/evaluation Health promotion
Outreach and advocacy Patient care and education
Volunteer activities Personal experience managing asthma
Other (please specify):
3. I plan to use this information as reference for the development of: (Please check all that apply)
Health education materials Practice guidelines
Public policies Personal knowledge
Proposal writing/planning Advocacy efforts
Other (please specify):
4. Are you familiar with the Pediatric/Adult Asthma Coalition of New Jersey (PACNJ)?
Yes No
5. Do you know where to go for additional information on asthma?
Yes No
   

Your opinion of the report
6. Overall, what do you think of the writing style?
Too technical About right
Too simplistic No opinion
7. What do you think of the data presented in the tables and charts?
Too technical About right
Too simplistic No opinion
8. What do you think of the format of the report in terms of organization and order of appearance of topics and subtopics?
Format makes report easy to read and understand Format makes report difficult to read and understand
No opinion  
   

Final opinion
9. After reading this report, do you feel that you are more informed about:
The prevalence of asthma in New Jersey (i.e. number of people who have asthma)? Yes    No
Asthma hospitalization rates?    Yes    No
Asthma mortality rates?    Yes    No
Occupational asthma prevalence, types, and cases?    Yes    No
10. Overall, the report met my asthma data needs.
Strongly agree Agree
Disagree Strongly disagree
No opinion  
11. Comments or Suggestions:
   

For more information on asthma, asthma surveillance in New Jersey, or the Pediatric/Adult Asthma Coalition of New Jersey (PACNJ), please visit these Internet websites:
 
 

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Last Modified: Friday, 09-Mar-07 08:59:07