Webcast 04/03/06
 
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Public Health to the Rescue: Emergency Response is Now a Core Function


 
  Part I: Participant Information
 
 
 
  Directions:
Mark the response that represents best your response to each item. There are no right or wrong answers, so please be candid and try not to let your response to one item influence your response to other items. Be sure to answer each item. Data will be used for the sole purpose of reporting to the funding agency.
 
 
 
1.
What is your gender?
 
 
 
 
 
2.

 
 
 
 
3.
Which of the following categories best describes your race/ethnicity?
 
 
 
 
       
 
 
 
4.
Including this calendar year, how many total years have you worked in your current employment agency?
 
 
 
 
 
 
 
 
5.
Which of the following categories best describes the geographic region in which you work most often?
 
 
 
 
 
 
6.
Including this calendar year, how many total years have you worked in community/public health?
 
 
 
 
 
 
 
 
7.
Which of the following describes best your current position?
 
 
 
 
 
 
 
 
 
 
 
 
       
 
 
 
8.
Which health department do you work for?
 
 
 
 
 
 
 
       
 
 
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