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Data, Statistics, and Legislation
Diseases and Conditions
Health Care Facilities, Providers, and Insurance
Healthy Communities, Environment, and Workplaces
Individual and Family Health
About Us
News and Announcements
Translated Materials
What state do you live in?
- Please choose a state -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of ColumbiaDistrict of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
In which setting do you primarily work?
- Please choose a primary workplace -
Clinic
Hospital
City, county, or state health department
School
Home visiting service
Other
Do you currently conduct home assessments to identify environmental triggers of asthma?
- None -
Yes
No
If you do not conduct home assessments, does your organization provide referrals to agencies that provide home assessments to identify environmental triggers of asthma?
- None -
Yes
No
I prefer not to answer
If you do not conduct home assessments, will you be adding home assessments to identify environmental triggers of asthma as part of your current home visit program?
- None -
Yes
No
Don't Know
I prefer not to answer
Not Applicable
Do you currently provide patient and family education focused on environmental triggers of asthma?
- None -
Yes
No
Please check whether you provide information and/or products on HEPA Portable air cleaners to families based on their specific environmental asthma triggers.
Information provided
Products provided
Please check whether you provide information and/or products on Bed/Pillow encasements to families based on their specific environmental asthma triggers.
Information provided
Products provided
Please check whether you provide information and/or products on Integrated Pest Management to families based on their specific environmental asthma triggers.
Information provided
Products provided
On a scale from 1-5, (1 = very confident and 5 = not confident at all), please rate your level of confidence on educating families and patients about asthma triggers in the home:
- None -
1 - Not confident at all
2 - A little confident
3 - Confident
4 - Mostly confident
5 - Very confident
On a scale from 1-5, (1 = very confident and 5 = not confident at all), please rate your level of confidence on recommending interventions to families on ways to reduce exposures to asthma triggers:
- None -
1 - Not confident at all
2 - A little confident
3 - Confident
4 - Mostly confident
5 - Very confident
On a scale from 1-5, (1 = very confident and 5 = not confident at all), please rate your level of confidence on conducting a home assessment for asthma triggers:
- None -
1 - Not confident at all
2 - A little confident
3 - Confident
4 - Mostly confident
5 - Very confident
On a scale from 1-5, (1 = very useful and 5 = not useful at all), please rate the usefulness of this training:
- None -
1 - Not useful at all
2 - A little useful
3 - Moderately useful
4 - Mostly useful
5 - Very useful
What topics would be useful for future online trainings on reducing triggers of asthma?