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		NHLBI Feedback | 
		
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		Question | 
		Answer Choices | 
	
	
		
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		| 1 | 
		Which of the following best describes you? | 
		Patient or person with health concerns | 
	
	
		
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		General Public | 
	
	
		
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		Family or friend of person with health concerns | 
	
	
		
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		Medical/healthcare professional | 
	
	
		
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		Public health professional / Health educator | 
	
	
		
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		Researcher | 
	
	
		
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		Advocate | 
	
	
		
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		Student | 
	
	
		
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		Teacher or educator | 
	
	
		
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		Other  | 
	
	
		| 2 | 
		Which resources were the most helpful and why?  | 
		Open End. | 
	
	
		| 3 | 
		What specific types of resources were you looking for when you came to this site? | 
		Open End. | 
	
	
		| 4 | 
		What other resources would be helpful for NHLBI to provide?  | 
		Open End. | 
	
	
		| 5 | 
		Is there another format (i.e. PDF, image, etc.) you would prefer, if so what?  | 
		Open End. | 
	
	
		| 6 | 
		How could the resources (i.e. materials, images, cards, etc.) be improved?  | 
		Open End. | 
	
	
		| 7 | 
		What do you like best about the page? | 
		Open End. | 
	
	
		| 8 | 
		What do you like least about the page? | 
		Open End. | 
	
	
		| 9 | 
		What information is the most useful or important to you on the website? | 
		Open End. | 
	
	
		| 10 | 
		Would you consider sharing any of the social media resources available on the website? | 
		Yes | 
	
	
		
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		No | 
	
	
		| 11 | 
		When sharing social media resources, do you prefer to share directly from a webpage or download the images separately? | 
		Open End. | 
	
	
		| 12 | 
		Were the educational resources provided on the [campaign name] website useful for your outreach efforts?  | 
		Open End. | 
	
	
		| 13 | 
		Which resources do you find most helpful?  Please select the two most helpful resources. | 
		Item 1 (these would be populated with items related to the specific campaigns) | 
	
	
		
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		Item 2 | 
	
	
		
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		Item 3 | 
	
	
		
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		Item 4 | 
	
	
		| 14 | 
		Would you consider sharing this website as a resource for others? | 
		Yes | 
	
	
		
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		No | 
	
	
		| 15 | 
		What other recommendations for improvement do you have? | 
		Open End. | 
	
	
		| 16 | 
		Did you use, download, or share any of the [campaign name] materials that were available on the [campaign name] website (i.e. fact sheets, social media images, etc.)? | 
		Yes | 
	
	
		
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		No | 
	
	
		| 17 | 
		If so, which materials did you use, download, or share? (select all that apply) | 
		Item 1 (these would be populated with items related to the specific campaigns) | 
	
	
		
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		Examples may include:  | 
		Item 2 | 
	
	
		
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		·       Fact Sheets | 
		Item 3 | 
	
	
		
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		·       Twitter posts | 
		Item 4 | 
	
	
		
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		·       Twitter images | 
		
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		·       Facebook posts | 
		
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		·       Facebook images | 
		
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		·       Drop-in articles for African Americans | 
		
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		·       Drop-in articles for Hispanics/Latinos | 
		
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		·       PowerPoint slides | 
		
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		·       Flyers | 
		
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		·       YouTube videos | 
		
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		| 18 | 
		What did you like best about the [campaign name] materials? | 
		Open End. | 
	
	
		| 19 | 
		What did you like least about the [campaign name] materials? | 
		Open End. | 
	
	
		| 20 | 
		How could the [campaign name] materials be improved? | 
		Open End. | 
	
	
		| 21 | 
		Are there any additional [campaign name] materials you suggest be added? | 
		Open End. | 
	
	
		| 22 | 
		Would you like to be able to download all of the [campaign name] materials in a zip file?  | 
		Open End. | 
	
	
		| 23 | 
		How did you learn about the [campaign name] materials available to you?  | 
		Newsletter | 
	
	
		
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		Email | 
	
	
		
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		Website | 
	
	
		
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		Other, please explain: |