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Department of Health and Human Services
Centers for Disease Control and Prevention

Vaccines & Immunizations

For Specific Groups of People:

Feedback on Provider Resources for Vaccine Conversations with Parents

  1. Which of these best describes your occupation?

    Pediatrician
    Family Physician
    Nurse
    Medical Assistant
    Nurse Practitioner
    Physician’s Assistant
    Office Manager
    Parent of a child younger than 2
    Other (please list)

  2. How long have you administered vaccines to children?

    I do not administer vaccines to children.
    Less than 1 year
    1-5 years
    6-10 years
    11-20 years
    more than 20 years

  3. How did you first receive the materials in Provider Resources for Vaccine Conversations with Parents?

    I received printed copies through the mail.
    I was given printed copies by someone else.
    I received a postcard that included the web address.
    I read about these resources in a professional publication.
    I saw an advertisement or article in AAP News.
    I looked at the materials online, specifically: (choose one)

      I clicked a link in an email.
      I used a search engine, such as Google, Yahoo, or Bing.
      I clicked a button or banner ad on another website.
      I found the materials on the CDC website.

    Other (please list)

  4. What materials did you review?
    (Please check all that apply)

    Talking with Parents about Vaccines for Infants
    Understanding Vaccines and Vaccine Safety fact sheet series
    Diseases and the Vaccines that Prevent Them fact sheet series
    If You Choose Not to Vaccinate Your Child, Understand the Risks and Responsibilities

  5. Was any information in Provider Resources for Vaccine Conversations with Parents unclear or confusing?

    No
    Yes (please specify)

  6. Overall, how useful will these materials be in helping you communicate with parents about vaccines, vaccine-preventable diseases, and vaccine safety?

    Very useful
    Useful
    Somewhat useful
    Not at all useful

  7. How will you use Provider Resources for Vaccine Conversations with Parents?
    (Please check all that apply)

    Educate myself
    Educate staff other than myself
    Educate my colleagues
    Discuss the information with parents in the office
    Give the resources to parents
    Leave the resources out for parents to take
    Mail the resources home to parents
    Post resources or include a button to the resources on our practice website
    I would not use the resources
    Other (please specify)

  8. New materials will be added to Provider Resources for Vaccine Conversations with Parents; what would you like to see added?

  9. Do you have any other comments about Provider Resources for Vaccine Conversations with Parents?

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Note: We deleted 2 questions and simplified answers for question #4.

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This page last modified on November 17, 2011
Content last reviewed on September 7, 2011
Content Source: National Center for Immunization and Respiratory Diseases

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Vaccines and Immunizations