OMB No. 0920-0847
Exp. Date 02/28/2013
Public reporting burden of this collection of information is estimated to be 10 minutes per response, including the 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 Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, GA 30033; Attn: PRA (0920-0847).
Please answer all questions as indicated.
1. How many years experience do you have with violence prevention?
What area of violence prevention do you have experience with (choose all that apply)?
Which of the following agencies/categories best describes where you work?
What is your current job title? Please specify.
This product is useful to me in my work.
This product has changed (will change) the way I work to prevent violence.
This product has increased my knowledge of suicide.
This product is easy to understand.
Would you recommend this product to others?
This product has led me to make professional choices and decisions that I would not have made otherwise.
How could the product be improved?