Form Approved OMB
	No. 0923-XXXX Exp.
	Date XX/XX/XXXX 
Attachment 4b. Follow-up Survey Screenshots
Follow up to the Land Reuse Certificate
Thank you for participating in ATSDR’s Land Reuse Certificate Program. Please take a few minutes to tell us about your use of the information and your experience.
In
		general, how helpful has the Environmental Health and Land Reuse
		training/Certificate Program been to increase your skills for
		integrating environmental health in land reuse and community
		revitalization activities: 
	 Not useful at
		all Somewhat
		useful Useful Very useful Other (please
		specify) 
	 
	 
 
	
	
		
	
	
	
	ATSDR
	estimates the average public reporting burden of this collection of
	information as 20 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 Information Collection Review Office; 1600
	Clifton Road NE, MS D-74 Atlanta, Georgia 30333; ATTN: PRA
	(0923-XXXX) 
Considering
		the certification training in general, are there any aspects you
		think were particularly useful (select all that apply): 
	 a. Quick
		reference b. Preparation
		for public meeting c. Build
		general skills in Environmental Health d. Increase
		capacity to engage communities with land reuse sites and concerns e. None of the
		above 
	Other (please specify) 
	 
	 
	
	
		
	 
	
In
		reference to the Engaging with Your Community module, please choose
		all that apply: 
	 a.
		Specifically useful for my work. If so, you can describe how here
		(optional):
		_________________________________________________________ b. Quick
		refresher c. Offers me
		knowledge about a topic I am less familiar with d. Gives me
		confidence to increase my skills in and understanding of community
		engagement related to land reuse sites e. Motivates
		me to learn more about land reuse sites and ways I can be engaged f. Not needed
		for my work g. None of the
		above 
	Other (please specify) 
	 
	 
	
	
		
	 
	
In
		reference to the Communicating Environmental and Health Risks
		module, please select all that apply: 
		 a.
		Specifically useful for my work. If so, you can describe how here
		(optional):
		_________________________________________________________ b. Quick
		refresher c. Offers me
		knowledge about a topic I am less familiar with d. Gives me
		confidence to increase my skills in and understanding of
		communication/risk communication e. Motivates
		me to learn more about land reuse sites and ways I can be engaged
		with communities who may be affected by these sites f. Not needed
		for my work g. None of the
		above 
	Other (please specify) 
	 
	 
	 In
		reference to the Evaluating Environmental and Health Risks module,
		please choose all that apply: 
	 a.
		Specifically useful for my work. If so, you can describe how here
		(optional):
		________________________________________________________ b. Quick
		refresher c. Offers me
		knowledge about a topic I am less familiar with d. Gives me
		confidence to increase my skills in and understanding of
		environmental and health risks associated with land reuse sites e. Motivates
		me to learn more about land reuse sites f. Not needed
		for my work g. None of the
		above 
	Other (please specify) 
	 
	 
 
	
	
		
	 
	
	
		
	 
In
		reference to the Measuring Success: Evaluating Environmental and
		Health Change module, please choose all that apply: 
	 a.
		Specifically useful for my work. If so, you can describe how here
		(optional):
		_________________________________________________________ b. Quick
		refresher c. Offers me
		knowledge about a topic I am less familiar with d. Gives me
		confidence to increase my skills in and understanding evaluation of
		environmental and health change through metrics (public health
		indicators associated with land reuse redevelopment) e. Motivates
		me to learn more about evaluation of environment and health change
		associated with redevelopment f. Not needed
		for my work g. None of the
		above Other (please
		specify) 
	 
	 
	 
	 In
		reference to the Redesigning with Health in Mind module, please
		select all that apply: 
	 a.
		Specifically useful for my work. If so, you can describe how here
		(optional):
		_________________________________________________________ b. Quick
		refresher c. Offers me
		knowledge about a topic I am less familiar with d. Gives me
		confidence to increase my skills in and understanding of
		integrating health in land reuse and redevelopment e. Motivates
		me to learn more about health-focused community revitalization f. Not needed
		for my work g. None of the
		above Other (please
		specify) 
	 
	 
	 
 
	
	
		
	 
	
	
	
		
	 
	
Please
		describe how you completed the Certificate Program (select all that
		apply): I completed
			the certificate only on ATSDR’s website for Continuing
			Education purposes I pursued and
			received a full Certificate of Completion from the National
			Environmental Health Association Other (please
			specify) Is
		there one aspect of the Certificate Program materials that is most
		useful to you? If so, please specify here: 
	 
	 
 
	
		
			
	 
	 
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Modified | 0000-00-00 | 
| File Created | 0000-00-00 |