March of Dimes Folic Acid Campaign Survey

Strengthening the March of Dimes Folic Acid Campaign: Assessment of Past Efforts and Recommendations for the Future

This on-line survey is part of an assessment of selected aspects of the Folic Acid Campaign and is directed to State Folic Acid Council Members


Sponsored by:	Conducted by:

the March of Dimes	Health Systems Research, Inc.

Introduction

Thank you in advance for participating in the on-line survey on the Folic Acid Campaign sponsored by the March of Dimes.

The National Office of the March of Dimes is conducting an assessment of selected aspects of the Folic Acid Campaign to identify features of the Campaign that have been effective and to develop recommendations for the future based on the experiences of those working on the Campaign at the local, State, and national levels. Your input is very important to us.

Surveys and selected informant interviews will be conducted with representatives from the National Council on Folic Acid, the State and local Folic Acid Councils, and the March of Dimes Chapters and Division Offices. In addition, interviews will be conducted with representatives from the National and Regional Offices.

For your convenience, we have placed this set of questions on the Internet. Responses using this web questionnaire must be submitted by Friday, June 15, 2001.

Instructions

This on-line survey contains text boxes, check boxes, and pop-up list boxes containing pre-selected options. Upon completing the questionnaire, click on the SUBMIT button at the bottom of the form. Your responses will automatically be forwarded to Health Systems Research, Inc. (HSR), the policy research firm that is conducting this study.

This survey will take up to 30 minutes to complete. Please ensure that you set aside enough time to complete the entire survey, as it must be completed at one time, and cannot be saved or retrieved. All your answers will be kept completely confidential.

Complete the form as best you can. Please note, there may be questions that do not apply to you. Please use your judgment in answering; if you have some information, an opinion or a feeling - respond to the question, but don't make random guesses. Please make sure to complete the entire form (or as much as applies to you) and to wait for the confirmation web page to appear.

If you have any questions or comments, please feel free to contact Nadia Shahmehri of HSR at (207) 772-1410 or via e-mail at nshahmehri@hsrnet.com. Your feedback and perspectives are essential and greatly appreciated.