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* 1. Please share the name of your organization.

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* 2. Which of the following best describes you?

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* 4. How did you hear about this webinar?

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* 5. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Identify three ways communication specialists can partner with local, state and national organizations to reach diverse communities

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* 6. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Understand how community partnerships can assist public health communicators in disseminating important health messages during routine and emergency situations

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* 7. Did the Webinar meet the following objective? (If you feel the objective was partially met or not met, please comment.)

Understand how to maintain partnerships between community organizations and public health agencies

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* 8. Please rate the relevance of this information to your work/professional development:

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* 9. Please rate the overall quality of the presentation given by Jennifer Tinney:

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* 10. Please rate the overall quality of the presentation given by Jeanene Fowler:

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* 11. Please rate the overall quality of the presentation given by Machrina Leach:

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* 12. Please rate the overall quality of the presentation given by Carlos Velasquez:

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* 13. Overall quality of the session

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* 14. Which of the following CDC resources or types of support have been helpful in your influenza vaccination promotion efforts for the 2012-2013 season? (check all that apply)

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* 15. What social media platforms do you utilize to promote immunization messages to (check all that apply)

  Public Partners/Providers
Twitter
Facebook
Linked In
Pinterest
Instagram
Blog
Website
Reddit
You Tube
Other

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* 16. Do you partner with other organizations in your immunization communication activities?

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* 17. Were you able to access the presentation on-line through WebEx? If not, please describe any technical issues encountered.

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* 18. How many persons listened to the Webinar at your site?

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* 19. What is the most important thing or idea you learned from this webinar?

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* 20. How might you incorporate this new information into your practice?

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* 21. Please share other feedback or suggestions on the session.

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