Form
		Approved OMB
		Control No. 0920-1050 Exp.
		Date: XX/XX/XXXX 
	
	 
The Public Health Informatics Institute (PHII) is collaborating with the Centers for Disease Control and Prevention (CDC) to provide learning activities (e.g., information, guidance, resources) to state, tribal, local and territorial (STLT) health agencies partnered with CDC through the Accelerating Public Health Data Modernization Cooperative Agreement. The learning activities are intended to support STLT health agencies in the preparation and implementation of plans to modernize data, technology and workforce capacities.
	
Your response to this survey will help us assess the extent learning activities are meeting participants' needs and supporting the development of data modernization goals. Your responses will be kept confidential. This survey should take less than 10 minutes to complete.
	
	
 
  
	
	
Have you participated in any of the DMI learning community activities, such as the monthly webinars, online collaborative workspace, and discussion forums?
	 Yes
	Yes
	
	 No
	No
	
	
 
  
	
	
Please indicate your overall level of satisfaction with each of the following types of DMI learning activities that have been offered by PHII:
	
	
	
	
Very dissatisfied Dissatisfied Satisfied Very satisfied
N/A - Did not participate in this activity
	 
	 
 
 
 
 
 
  
Online
	collaborative workspace
	(e.g.,
	Circle)
Please indicate your level of agreement or disagreement with each of the following statements related to the DMI learning activities that have been offered by PHII:
	
	
	
	
Strongly disagree Disagree Agree Strongly agree
N/A - Did not participate in this activity
	 
The online collaborative workspace (e.g., Circle) was helpful to my
jurisdiction's
	efforts
	to	 
	         
	 
	         
	 
	         
	 
	         
	 
	 
  
develop
	and/or implement data modernization
	plans.
The DMI learning activities have helped me to identify at least
one
	other
	jurisdiction or	 
	         
	 
	         
	 
	         
	 
	         
	 
STLT agency that I could contact for support or collaboration.
	
	
		 
  
Please
		use this space to provide any additional feedback about the DMI
		learning community and/or activities:
	
	
	
 
  
	
Have you used the Data Modernization Planning Toolkit to inform the development and/or implementation of your jurisdiction's data modernization plan?
 Yes
Yes
 No
No
 
  
Which of the following best describes your overall level of satisfaction with the Data Modernization Planning Toolkit?
 Very
satisfied
Very
satisfied 
 Satisfied
Satisfied
 Dissatisfied
Dissatisfied
 Very
dissatisfied
Very
dissatisfied
Please use this space to provide any additional feedback on the Data Modernization Planning Toolkit:
 
  
 
  
Please indicate the amount of progress that your jurisdiction has made on each of the following:
 
 
 
 Substantial
progress	Some
progress	No
progress
yet	N/A
Substantial
progress	Some
progress	No
progress
yet	N/A
 
  
Internal informatics infrastructure
 
Please indicate the extent to which the DMI learning activities (e.g., webinars, online collaborative workspace, discussion forums) contributed to the progress that your jurisdiction has made on its data modernization plans
 Significant
contribution
Significant
contribution 
 Some
contribution
Some
contribution
 No
contribution
No
contribution
 N/A
-
No progress yet
N/A
-
No progress yet
Please indicate the extent to which the DMI learning activities (e.g., webinars, online collaborative workspace, discussion forums) contributed to the progress that your jurisdiction has made on its internal informatics infrastructure
 Significant
contribution
Significant
contribution 
 Some
contribution
Some
contribution
 No
contribution
No
contribution
 N/A
-
No progress yet
N/A
-
No progress yet
Please indicate the extent to which the DMI learning activities (e.g., webinars, online collaborative workspace, discussion forums) contributed to the progress that your jurisdiction has made on its enhanced workforce capacity
 Significant
contribution
Significant
contribution 
 Some
contribution
Some
contribution
 No
contribution
No
contribution
 N/A
-
No progress yet
N/A
-
No progress yet
 
  
Did you participate in the Data Modernization Workshop held from May 24-26, 2022?
 
 Yes
No
Yes
No
 
  
Please indicate your level of satisfaction with each of the following:
Very dissatisfied Dissatisfied Satisfied Very satisfied
 
  
Day
2
of
the
workshop	 
	
 
	
 
	
 
 
  
The workshop overall
 
 
 
 Please
	indicate
	your
	level
	of
	agreement
	or
	disagreement
	with
	each
	of
	the
	following
	statements:
Please
	indicate
	your
	level
	of
	agreement
	or
	disagreement
	with
	each
	of
	the
	following
	statements:
 
 
 
 Strongly
disagree	Disagree	Agree	Strongly
agree
Strongly
disagree	Disagree	Agree	Strongly
agree
 
  
The workshop enhanced my capacity and capability in areas such as data exchange and interoperability, data system architecture and design, and transforming data into information.
 
 
  
Please indicate the extent to which the workshop helped or taught you to:
Strongly disagree Disagree Agree Strongly agree
 
  
Analyze approaches to coordinate and
collaborate
across	 
	
 
	
 
	
 
 
  
programs,
partners,
and
agencies.
Describe ways to incorporate health equity into jurisdictional processes and systems.
 
 
 
 Please
	indicate
	the
	extent
	to
	which
	you
	agree
	or
	disagree
	with
	the
	following:
Please
	indicate
	the
	extent
	to
	which
	you
	agree
	or
	disagree
	with
	the
	following:
 
 
 
 Strongly
disagree	Disagree	Agree	Strongly
agree
Strongly
disagree	Disagree	Agree	Strongly
agree
 
  
The workshop enhanced my capabilities related to data system architecture and design.
 
 
  
	 
  
Which
	resources or information provided during the workshop do you
	consider to be most important or most useful? In other words, what
	has “stuck with you” since the workshop?
Please use this space to provide any additional feedback about the workshop:
 
  
 
  
Is there anything else that you would like to add about the DMI learning community and/or activities?
 
  
 
  
We appreciate the time you have taken to provide valuable feedback about the DMI learning activities.
	 
		
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | View Survey | 
| File Modified | 0000-00-00 | 
| File Created | 2025-08-04 |