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post survey

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Community Health Direct Care Project Part 3:
POST-Survey
The purpose of this survey is to assess your knowledge of the presented topic.
Anonymous data from this survey will be used as part of a course project.
Community Health Problem is ___Air Quality
Community Intervention is ______Air Quality Flag Program
Please select the extent to which you agree or disagree with the statements below by
placing an “X” in the box.
#
Statement
1
I consider myself
knowledgeable about this
community health problem
I am aware of how this
community health problem
impacts vulnerable populations
in my community
I believe this health problem is
an issue in our community
I am interested in this health
problem and proposed
solution.
I am aware of the link between
this health problem and health
conditions.
I am familiar with ways to
improve this health problem.
I am familiar with the
community intervention above.
I could implement this
community intervention to
address the health problem.
2
3
4
5
6
7
8
Strongly
Agree
Agree
Neither
Strongly
Agree or Disagree
Disagree
Disagree
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