Noisy_Planet
OMB Control #: 0925-0648
Expiration
Date: 1/31/2015
Noisy Planet-Customer Satisfaction Survey (English)
Q1. The National Institute on Deafness and Other Communication
Disorders (NIDCD), part of the National Institutes of Health, is
conducting a customer satisfaction survey about It's A Noisy
Planet. Protect Their Hearing. This is a health education
campaign to increase awareness about and prevention of noise-induced
hearing loss (NIHL).
The NIDCD wants to learn what you
think about the campaign materials available to the public. You are
being asked to participate in this survey because you ordered Noisy
Planet or NIDCD materials in the past year. Your participation in
this survey is voluntary and will help the NIDCD create a more
effective campaign to reach youth ages 8-12 (tweens) and their
parents.
Completing the survey should take about
10-15 minutes. We want your opinion, so there are no wrong
answers. You should know that:
- Your participation
is anonymous.
- Only a few people directly involved in the
survey will have access to your contact information. After the
survey is complete, your contact information will be destroyed.
- Your responses will be added to those of other participants and
analyzed as a group.
- You can choose to not answer questions
or stop your participation at any time without consequence to you.
The NIDCD is authorized to conduct this study under
section 42 USC 285f of U.S. Law, and has contracted with NOVA
Research to conduct the study. If you have questions about this
study or your participation, please contact Daniel Eckstein by email
at DEckstein@novaresearch.com or by phone at 240-483-4192.
By clicking on the link below, you certify that you
are at least 18 years of age and voluntarily consent to
participate in this survey. Thank you! (Choose one)
1 Agree
2 Decline participation
If Q1 is equal to 2, then skip to end of questionnaire.
Public reporting burden for this collection of information is estimated to average 12 minutes per response. This time includes the length of time allotted for the survey questions. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN; PRA (0925-0648). Do not return the completed form to this address.
Noisy Planet
A1. What type of organization are you from? (Select all that apply) (Check all that apply)
__ Not affiliated with an organization
__ Community or youth group (e.g., 4-H, Girl Scouts, Boy Scouts)
__ Educational (school or home school)
__ Faith-based organization
__ Professional society (hearing- or speech-related)
__ Professional society (not hearing- or speech-related)
__ Other
__ Decline to Answer
If A1G is not equal to 1, then skip to A2.
A1_o. Please specify other type of organization:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A2. Do you recall having placed an online/telephone order for Noisy
Planet materials?
These materials include bookmarks,
calendars, fact sheets, posters, tip sheets, and other items about
noise-induced hearing loss.
1 Yes
2 No
8 Decline to Answer
If A2 is not equal to 1, then skip to end of questionnaire.
A3. Did you order Noisy Planet materials online or over the phone? (Choose one)
1 Online
2 Over the phone
3 Both
7 Don’t remember
8 Decline to Answer
A4. When did you order Noisy Planet Materials? (Choose one)
1 Within the past 3 months
2 3 to 6 months ago
3 6 months ago or longer
7 Don’t remember
8 Decline to Answer
A5. How did you first learn about Noisy Planet materials? (Select all that apply) (Check all that apply)
__ From the Noisy Planet website
__ From my child
__ From my child's teacher
__ From a health care professional
__ At a local health fair
__ At a professional meeting/conference
__ From an organization I belong to
__ From a school presentation
__ From a link on another web site
__ From a friend or colleague
__ From a newspaper article
__ From a radio story
__ Through Facebook
__ Through a search engine, such as Google (TM)
__ From the NIDCD website
__ From a newsletter
__ Other
__ Don’t remember
__ Decline to Answer
If A5F is not equal to 1, then skip to instruction before A5_o2.
A5_o1. Please specify professional meeting/conference:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
If A5G is not equal to 1, then skip to instruction before A5_o3.
A5_o2. Please specify organization you belong to:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
If A5I is not equal to 1, then skip to instruction before A5_o4.
A5_o3. Please specify other web site link:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
If A5Q is not equal to 1, then skip to A6.
A5_o4. Please specify other way you learned about Noisy Planet materials:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A6. Have you used the Noisy Planet materials you ordered already? 1 Yes
2 No
A7. [TENSE] the Noisy Planet materials? (Select all that apply) (Check all that apply)
__ For personal interest
__ In my home or with my family
__ In my classroom
__ With youth group I lead
__ Distribute to organization/youth group
__ As part of a presentation at a local school
__ As part of a presentation to parents
__ As part of a presentation to health professionals
__ At a health fair or school fair
__ With a Faith-based organization
__ Some other way
__ Decline to Answer
If A7K is not equal to 1, then skip to A8.
A7_o. Please specify other way [TENSE2] the Noisy Planet materials:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A8. Which of the following best describes the target audience for your Noisy Planet activity? (Select all that apply) (Check all that apply)
__ Children (under 8)
__ Tweens (ages 8-12)
__ Teens (ages 13-19)
__ Parents of tweens
__ Teachers or other educators
__ Other
__ Decline to Answer
__ Does not apply
If A8F is not equal to 1, then skip to A9.
A8_o. Please specify other target audience:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
A9. How many participants [TENSE3] you expect to reach through your activity/ies? (Choose one)
1 4 or fewer
2 5-19
3 20-49
4 50-99
5 100-149
6 150 or more
8 Decline to Answer
9 Does not apply
If A3 is equal to 1 or A3 is equal to 3 then skip to A10
If not, then skip to A13.
A10. Did you notice that Noisy Planet materials can be downloaded from the Noisy Planet website?
1 Yes
2 No
7 Don’t remember
8 Decline to Answer
If A10 is not equal to 1, then skip to A13.
A11. Did you download any materials from the Noisy Planet website? (Choose one)
1 Yes
2 No, I did not need to download anything
3 No, I tried to download, but it did not work
7 Don’t remember
8 Decline to Answer
If A11 is equal to 1 or A11 is equal to 3 then skip to A12
If not, then skip to A13.
A12. Please tell us how easy or difficult it was to use the download feature: (Choose one)
01 Very Difficult
02 Somewhat Difficult
03 Easy
04 Very easy
97 Don’t remember
98 Decline to Answer
A13. Noisy Planet materials may be copied--did you duplicate or distribute materials that you downloaded from the website?
1 Yes
2 No
7 Don’t remember
8 Decline to Answer
A14. Which of the following English-language materials did you order? (Select all that apply) (Check all that apply)
__ None
__ Bookmark: How Loud is Too Loud?
__ Bookmark: How Loud is Too Loud on the Farm?
__ Fact Sheet: Noise-Induced Hearing Loss
__ Fact Sheet: How Loud is Too Loud? How Long is Too Long?
__ Fact Sheet: Why Teach Tweens about Noise-Induced Hearing Loss?
__ Parent Tips: Noise: Keeping it Down at Home
__ Parent Tips: Protect Their Hearing: What Parents Can Do
__ Parent Tips: Noise: Keeping it Down on the Farm
__ Parent Tips: Sound Advice on Hearing Protection for Young Ears
__ Parent Tips: Teachable Moments about Healthy Hearing
__ Parent Tips: Teaching Tweens about Hearing Protectors
__ Noisy Planet Poster, Cartoon
__ Noisy Planet Poster
__ Noisy Planet Keep Noise Down on the Farm Poster
__ Noisy Planet Pencils
__ 2012 Calendar
__ Don’t remember
__ Decline to Answer
If A14A is equal to 1 and A14 is greater than 1 then You may not select 'None' and another response. Please correct. and skip to A14.
A15. Which of the following Spanish-language materials did you order? (Select all that apply) (Check all that apply)
__ None
__ Bookmark: ¿Cuándo el ruido es demasiado ruido? (How Loud Bookmark)
__ Fact Sheet: La pérdida de audición inducida por el ruido (Noise-Induced Hearing Loss)
__ Fact Sheet: ¿Cuándo el ruido es demasiado ruido? ¿Cuándo empieza el ruido a causar daño? (How Loud)
__ Fact Sheet: ¿Por qué hay que enseñar a los niños sobre la pérdida de audición inducida por el ruido? (Why Teach)
__ Parent Tips: El ruido: cómo disminuirlo en el hogar (Keeping it Down at Home)
__ Parent Tips: Proteja la audición de sus hijos: lo que usted puede hacer (Protect Their Hearing)
__ Parent Tips: Recomendaciones para proteger la capacidad auditiva de sus hijos (Sound Advice)
__ Parent Tips: Momentos oportunos para la enseñanza de la audición saludable (Teachable Moments)
__ Parent Tips: Enseñe a los niños sobre los protectores de oídos (Teaching Tweens)
__ Don’t remember
__ Decline to Answer
If A15A is equal to 1 and A15 is greater than 1 then You may not select 'None' and another response. Please correct. and skip to A15.
If A14A is equal to 1 and A15A is equal to 1 then Please select at least one English or Spanish material that you ordered. and skip to A14.
If (A14 is equal to "Decline to Answer" or A14 is equal to "Don’t remember") and (A15 is equal to "Decline to Answer" or A15 is equal to "Don’t remember") then skip to instruction before A16ea
If not, then skip to instruction before A17e1a.
Now we are going to ask you a few questions about the items you ordered.
A16ea. Materials are easy to understand and use and appear to be relevant to the audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A16eb. Illustrations and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A16ec. Pages are well organized and include lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A16ed. Fonts are large enough and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A16ee. Text is culturally sensitive (Choose one) 1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A16eg. Overall, how satisfied are you with the Noisy Planet materials you ordered? (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
Skip to A18a.
Now we are going to ask you a few questions about one of the items you ordered.
If PICK is equal to B, then skip to A17e1a.
If PICK is equal to C, then skip to A17e2a.
If PICK is equal to D, then skip to A17e3a.
If PICK is equal to E, then skip to A17e4a.
If PICK is equal to F, then skip to A17e5a.
If PICK is equal to G, then skip to A17e6a.
If PICK is equal to H, then skip to A17e7a.
If PICK is equal to I, then skip to A17e8a.
If PICK is equal to J, then skip to A17e9a.
If PICK is equal to K, then skip to A17e10a.
If PICK is equal to L, then skip to A17e11a.
If PICK is equal to M, then skip to A17e12a.
If PICK is equal to N, then skip to A17e13a.
If PICK is equal to O, then skip to A17e14a.
If PICK is equal to P, then skip to A17e15g.
If PICK is equal to Q, then skip to A17e16a.
If PICK is equal to R, then skip to A17s1a.
If PICK is equal to S, then skip to A17s2a.
If PICK is equal to T, then skip to A17s3a.
If PICK is equal to U, then skip to A17s4a.
If PICK is equal to V, then skip to A17s5a.
If PICK is equal to W, then skip to A17s6a.
If PICK is equal to X, then skip to A17s7a.
If PICK is equal to Y, then skip to A17s8a.
If PICK is equal to Z, then skip to A17s9a.
A17e1a. Please rate the English-language bookmark: How
Loud is Too Loud?
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e1b. Please rate the English-language bookmark: How
Loud is Too Loud?
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e1d. Please rate the English-language bookmark: How
Loud is Too Loud?
Fonts are large
enough and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e1e. Please rate the English-language bookmark: How
Loud is Too Loud?
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e1g. How satisfied are you with the Noisy Planet Bookmark:
How Loud is Too Loud?
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e2a. Please rate the English-language bookmark: How
Loud is Too Loud on the Farm?
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e2b. Please rate the English-language bookmark: How
Loud is Too Loud on the Farm?
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e2d. Please rate the English-language bookmark: How
Loud is Too Loud on the Farm?
Fonts are large enough
and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e2e. Please rate the English-language bookmark: How
Loud is Too Loud on the Farm?
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e2g. How satisfied are you with the Noisy Planet Bookmark:
How Loud is Too Loud on the Farm?
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e3a. Please rate the English-language Fact Sheet:
Noise-Induced Hearing Loss
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e3b. Please rate the English-language Fact Sheet:
Noise-Induced Hearing Loss
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e3c. Please rate the English-language Fact Sheet:
Noise-Induced Hearing Loss
Page is well organized
and include lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e3d. Please rate the English-language Fact Sheet:
Noise-Induced Hearing Loss
Fonts are large enough
and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e3e. Please rate the English-language Fact Sheet:
Noise-Induced Hearing Loss
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e3g. How satisfied are you with the Noisy Planet Fact Sheet:
Noise-Induced Hearing Loss
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e4a. Please rate the English-language Fact Sheet:
How Loud is Too Loud? How Long is Too Long?
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e4b. Please rate the English-language Fact Sheet:
How Loud is Too Loud? How Long is Too Long?
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e4c. Please rate the English-language Fact Sheet:
How Loud is Too Loud? How Long is Too Long?
Page is
well organized and include lots of white space (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e4d. Please rate the English-language Fact Sheet:
How Loud is Too Loud? How Long is Too Long?
Fonts
are large enough and consistent throughout (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e4e. Please rate the English-language Fact Sheet:
How Loud is Too Loud? How Long is Too Long?
Text is
culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e4g. How satisfied are you with the Noisy Planet Fact Sheet:
How Loud is Too Loud? How Long is Too Long?
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e5a. Please rate the English-language Fact Sheet:
Why Teach Tweens about Noise-Induced Hearing Loss?
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e5b. Please rate the English-language Fact Sheet:
Why Teach Tweens about Noise-Induced Hearing Loss?
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e5c. Please rate the English-language Fact Sheet:
Why Teach Tweens about Noise-Induced Hearing Loss?
Page
is well organized and include lots of white space
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e5d. Please rate the English-language Fact Sheet:
Why Teach Tweens about Noise-Induced Hearing Loss?
Fonts
are large enough and consistent throughout (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e5e. Please rate the English-language Fact Sheet:
Why Teach Tweens about Noise-Induced Hearing Loss?
Text
is culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e5g. How satisfied are you with the Noisy Planet Fact Sheet:
Why Teach Tweens about Noise-Induced Hearing Loss?
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e6a. Please rate the English-language Parent Tips:
Noise: Keeping it Down at Home
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e6b. Please rate the English-language Parent Tips:
Noise: Keeping it Down at Home
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e6c. Please rate the English-language Parent Tips:
Noise: Keeping it Down at Home
Page is well
organized and include lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e6d. Please rate the English-language Parent Tips:
Noise: Keeping it Down at Home
Fonts are large
enough and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e6e. Please rate the English-language Parent Tips:
Noise: Keeping it Down at Home
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e6g. How satisfied are you with the Noisy Planet Parent Tips:
Noise: Keeping it Down at Home
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e7a. Please rate the English-language Parent Tips:
Protect Their Hearing: What Parents Can Do
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e7b. Please rate the English-language Parent Tips:
Protect Their Hearing: What Parents Can Do
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e7c. Please rate the English-language Parent Tips:
Protect Their Hearing: What Parents Can Do
Page is
well organized and include lots of white space (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e7d. Please rate the English-language Parent Tips:
Protect Their Hearing: What Parents Can Do
Fonts
are large enough and consistent throughout (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e7e. Please rate the English-language Parent Tips:
Protect Their Hearing: What Parents Can Do
Text is
culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e7g. How satisfied are you with the Noisy Planet Parent Tips:
Protect Their Hearing: What Parents Can Do
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e8a. Please rate the English-language Parent Tips:
Noise: Keeping it Down on the Farm
Material is easy
to understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e8b. Please rate the English-language Parent Tips:
Noise: Keeping it Down on the Farm
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e8c. Please rate the English-language Parent Tips:
Noise: Keeping it Down on the Farm
Page is well
organized and include lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e8d. Please rate the English-language Parent Tips:
Noise: Keeping it Down on the Farm
Fonts are large
enough and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e8e. Please rate the English-language Parent Tips:
Noise: Keeping it Down on the Farm
Text is
culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e8g. How satisfied are you with the Noisy Planet Parent Tips:
Noise: Keeping it Down on the Farm
(Choose
one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e9a. Please rate the English-language Parent Tips:
Sound Advice on Hearing Protection for Young Ears
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e9b. Please rate the English-language Parent Tips:
Sound Advice on Hearing Protection for Young Ears
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e9c. Please rate the English-language Parent Tips:
Sound Advice on Hearing Protection for Young Ears
Page
is well organized and include lots of white space
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e9d. Please rate the English-language Parent Tips:
Sound Advice on Hearing Protection for Young Ears
Fonts
are large enough and consistent throughout (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e9e. Please rate the English-language Parent Tips:
Sound Advice on Hearing Protection for Young Ears
Text
is culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e9g. How satisfied are you with the Noisy Planet Parent Tips:
Sound Advice on Hearing Protection for Young Ears
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e10a. Please rate the English-language Parent Tips:
Teachable Moments about Healthy Hearing
Material is
easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e10b. Please rate the English-language Parent Tips:
Teachable Moments about Healthy Hearing
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e10c. Please rate the English-language Parent Tips:
Teachable Moments about Healthy Hearing
Page is
well organized and include lots of white space (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e10d. Please rate the English-language Parent Tips:
Teachable Moments about Healthy Hearing
Fonts are
large enough and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e10e. Please rate the English-language Parent Tips:
Teachable Moments about Healthy Hearing
Text is
culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e10g. How satisfied are you with the Noisy Planet Parent Tips: Teachable Moments about Healthy Hearing (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e11a. Please rate the English-language Parent Tips:
Teaching Tweens about Hearing Protectors
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e11b. Please rate the English-language Parent Tips:
Teaching Tweens about Hearing Protectors
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e11c. Please rate the English-language Parent Tips:
Teaching Tweens about Hearing Protectors
Page is
well organized and include lots of white space (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e11d. Please rate the English-language Parent Tips:
Teaching Tweens about Hearing Protectors
Fonts are
large enough and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e11e. Please rate the English-language Parent Tips:
Teaching Tweens about Hearing Protectors
Text is
culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e11g. How satisfied are you with the Noisy Planet Parent Tips: Teaching Tweens about Hearing Protectors (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e12a. Please rate the English-language Poster:
Noisy Planet Poster, Cartoon
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e12b. Please rate the English-language Poster:
Noisy Planet Poster, Cartoon
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e12d. Please rate the English-language Poster:
Noisy Planet Poster, Cartoon
Fonts are large enough
and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e12e. Please rate the English-language Poster:
Noisy Planet Poster, Cartoon
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e12g. How satisfied are you with the Noisy Planet Poster: Noisy Planet Poster, Cartoon (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e13a. Please rate the English-language Poster:
Noisy Planet Poster
Material is easy to understand
and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e13b. Please rate the English-language Poster:
Noisy Planet Poster
Illustrations and graphics are
relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e13d. Please rate the English-language Poster:
Noisy Planet Poster
Fonts are large enough and
consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e13e. Please rate the English-language Poster:
Noisy Planet Poster
Text is culturally sensitive
(Choose one) 1 Not at
all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e13g. How satisfied are you with the Noisy Planet Poster: Noisy Planet Poster (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e14a. Please rate the English-language Poster:
Noisy Planet Keep Noise Down on the Farm Poster
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e14b. Please rate the English-language Poster:
Noisy Planet Keep Noise Down on the Farm Poster
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e14d. Please rate the English-language Poster:
Noisy Planet Keep Noise Down on the Farm Poster
Fonts
are large enough and consistent throughout (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e14e. Please rate the English-language Poster:
Noisy Planet Keep Noise Down on the Farm Poster
Text
is culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e14g. How satisfied are you with the Noisy Planet Poster: Noisy Planet Keep Noise Down on the Farm Poster (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e15g. How satisfied are you with the Noisy Planet Material: Noisy Planet Pencils (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17e16a. Please rate the English-language Material:
2012 Calendar
Material is easy to understand and
use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e16b. Please rate the English-language Material:
2012 Calendar
Illustrations and graphics are
relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e16c. Please rate the English-language Material:
2012 Calendar
Page is well organized and include
lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e16d. Please rate the English-language Material:
2012 Calendar
Fonts are large enough and consistent
throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e16e. Please rate the English-language Material:
2012 Calendar
Text is culturally sensitive
(Choose one) 1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17e16g. How satisfied are you with the Noisy Planet Material: 2012 Calendar (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s1a. Please rate the Spanish-language Bookmark:
¿Cuándo el ruido es demasiado ruido? (How Loud
Bookmark)
Material is easy to understand and use and
appears to be relevant to the audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s1b. Please rate the Spanish-language Bookmark:
¿Cuándo el ruido es demasiado ruido? (How Loud
Bookmark)
Illustrations and graphics are relevant and
useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s1d. Please rate the Spanish-language Bookmark:
¿Cuándo el ruido es demasiado ruido? (How Loud
Bookmark)
Fonts are large enough and consistent
throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s1e. Please rate the Spanish-language Bookmark:
¿Cuándo el ruido es demasiado ruido? (How Loud
Bookmark)
Text is culturally sensitive
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s1g. How satisfied are you with the Noisy Planet Bookmark: ¿Cuándo el ruido es demasiado ruido? (How Loud Bookmark) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s2a. Please rate the Spanish-language Fact Sheet:
La pérdida de audición inducida por el ruido
(Noise-Induced Hearing Loss)
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s2b. Please rate the Spanish-language Fact Sheet:
La pérdida de audición inducida por el ruido
(Noise-Induced Hearing Loss)
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s2c. Please rate the Spanish-language Fact Sheet:
La pérdida de audición inducida por el ruido
(Noise-Induced Hearing Loss)
Page is well organized
and include lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s2d. Please rate the Spanish-language Fact Sheet:
La pérdida de audición inducida por el ruido
(Noise-Induced Hearing Loss)
Fonts are large enough
and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s2e. Please rate the Spanish-language Fact Sheet:
La pérdida de audición inducida por el ruido
(Noise-Induced Hearing Loss)
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s2g. How satisfied are you with the Noisy Planet Fact Sheet:
La pérdida de audición inducida por el ruido
(Noise-Induced Hearing Loss)
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s3a. Please rate the Spanish-language Fact Sheet:
¿Cuándo el ruido es demasiado ruido? ¿Cuándo
empieza el ruido a causar daño? (How Loud)
Material
is easy to understand and use and appears to be relevant to the
audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s3b. Please rate the Spanish-language Fact Sheet:
¿Cuándo el ruido es demasiado ruido? ¿Cuándo
empieza el ruido a causar daño? (How Loud)
Illustrations
and graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s3c. Please rate the Spanish-language Fact Sheet:
¿Cuándo el ruido es demasiado ruido? ¿Cuándo
empieza el ruido a causar daño? (How Loud)
Page
is well organized and include lots of white space
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s3d. Please rate the Spanish-language Fact Sheet:
¿Cuándo el ruido es demasiado ruido? ¿Cuándo
empieza el ruido a causar daño? (How Loud)
Fonts
are large enough and consistent throughout (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s3e. Please rate the Spanish-language Fact Sheet:
¿Cuándo el ruido es demasiado ruido? ¿Cuándo
empieza el ruido a causar daño? (How Loud)
Text
is culturally sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s3g. How satisfied are you with the Noisy Planet Fact Sheet:
¿Cuándo el ruido es demasiado ruido? ¿Cuándo
empieza el ruido a causar daño? (How Loud)
(Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s4a. Please rate the Spanish-language Fact Sheet:
¿Por qué hay que enseñar a los niños
sobre la pérdida de audición inducida por el ruido?
(Why Teach)
Material is easy to understand and use and
appears to be relevant to the audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s4b. Please rate the Spanish-language Fact Sheet:
¿Por qué hay que enseñar a los niños
sobre la pérdida de audición inducida por el ruido?
(Why Teach)
Illustrations and graphics are relevant
and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s4c. Please rate the Spanish-language Fact Sheet: ¿Por
qué hay que enseñar a los niños sobre la pérdida
de audición inducida por el ruido? (Why Teach)
Page
is well organized and include lots of white space
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s4d. Please rate the Spanish-language Fact Sheet:
¿Por qué hay que enseñar a los niños
sobre la pérdida de audición inducida por el ruido?
(Why Teach)
Fonts are large enough and consistent
throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s4e. Please rate the Spanish-language Fact Sheet:
¿Por qué hay que enseñar a los niños
sobre la pérdida de audición inducida por el ruido?
(Why Teach)
Text is culturally sensitive
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s4g. How satisfied are you with the Noisy Planet Fact Sheet: ¿Por qué hay que enseñar a los niños sobre la pérdida de audición inducida por el ruido? (Why Teach) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s5a. Please rate the Spanish-language Parent Tips:
El ruido: cómo disminuirlo en el hogar
(Keeping
it Down at Home)
Material is easy to understand and
use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s5b. Please rate the Spanish-language Parent Tips:
El ruido: cómo disminuirlo en el hogar
(Keeping
it Down at Home)
Illustrations and graphics are
relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s5c. Please rate the Spanish-language Parent Tips: El ruido:
cómo disminuirlo en el hogar
(Keeping it Down at
Home)
Page is well organized and include lots of white
space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s5d. Please rate the Spanish-language Parent Tips:
El ruido: cómo disminuirlo en el hogar
(Keeping
it Down at Home)
Fonts are large enough and consistent
throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s5e. Please rate the Spanish-language Parent Tips:
El ruido: cómo disminuirlo en el hogar
(Keeping
it Down at Home)
Text is culturally sensitive
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s5g. How satisfied are you with the Noisy Planet Parent Tips: El ruido: cómo disminuirlo en el hogar (Keeping it Down at Home) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s6a. Please rate the Spanish-language Parent Tips: Proteja la
audición de sus hijos: lo que usted puede hacer (Protect Their
Hearing)
Material is easy to understand and use and
appears to be relevant to the audience. (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s6b. Please rate the Spanish-language Parent Tips:
Proteja la audición de sus hijos: lo que usted puede hacer
(Protect Their Hearing)
Illustrations and graphics are
relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s6c. Please rate the Spanish-language Parent Tips:
Proteja la audición de sus hijos: lo que usted puede hacer
(Protect Their Hearing)
Page is well organized and
include lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s6d. Please rate the Spanish-language Parent Tips:
Proteja la audición de sus hijos: lo que usted puede hacer
(Protect Their Hearing)
Fonts are large enough and
consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s6e. Please rate the Spanish-language Parent Tips:
Proteja la audición de sus hijos: lo que usted puede hacer
(Protect Their Hearing)
Text is culturally sensitive
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s6g. How satisfied are you with the Noisy Planet Parent Tips: Proteja la audición de sus hijos: lo que usted puede hacer (Protect Their Hearing) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s7a. Please rate the Spanish-language Parent Tips:
Recomendaciones para proteger la capacidad auditiva de sus hijos
(Sound Advice)
Material is easy to understand and use
and appears to be relevant to the audience. (Choose
one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s7b. Please rate the Spanish-language Parent Tips:
Recomendaciones para proteger la capacidad auditiva de sus hijos
(Sound Advice)
Illustrations and graphics are relevant
and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s7c. Please rate the Spanish-language Parent Tips: Recomendaciones
para proteger la capacidad auditiva de sus hijos (Sound Advice)
Page
is well organized and include lots of white space
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s7d. Please rate the Spanish-language Parent Tips:
Recomendaciones para proteger la capacidad auditiva de sus hijos
(Sound Advice)
Fonts are large enough and consistent
throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s7e. Please rate the Spanish-language Parent Tips:
Recomendaciones para proteger la capacidad auditiva de sus hijos
(Sound Advice)
Text is culturally sensitive
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s7g. How satisfied are you with the Noisy Planet Parent Tips: Recomendaciones para proteger la capacidad auditiva de sus hijos (Sound Advice) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s8a. Please rate the Spanish-language Parent Tips:
Momentos oportunos para la enseñanza de la audición
saludable (Teachable Moments)
Material is easy to
understand and use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s8b. Please rate the Spanish-language Parent Tips:
Momentos oportunos para la enseñanza de la audición
saludable (Teachable Moments)
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s8c. Please rate the Spanish-language Parent Tips: Momentos
oportunos para la enseñanza de la audición saludable
(Teachable Moments)
Page is well organized and include
lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s8d. Please rate the Spanish-language Parent Tips:
Momentos oportunos para la enseñanza de la audición
saludable (Teachable Moments)
Fonts are large enough
and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s8e. Please rate the Spanish-language Parent Tips:
Momentos oportunos para la enseñanza de la audición
saludable (Teachable Moments)
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s8g. How satisfied are you with the Noisy Planet Parent Tips: Momentos oportunos para la enseñanza de la audición saludable (Teachable Moments) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A17s9a. Please rate the Spanish-language Parent Tips:
Enseñe a los niños sobre los protectores de oídos
(Teaching Tweens)
Material is easy to understand and
use and appears to be relevant to the audience.
(Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s9b. Please rate the Spanish-language Parent Tips:
Enseñe a los niños sobre los protectores de
oídos (Teaching Tweens)
Illustrations and
graphics are relevant and useful (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s9c. Please rate the Spanish-language Parent Tips:
Enseñe a los niños sobre los protectores de oídos
(Teaching Tweens)
Page is well organized and include
lots of white space (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s9d. Please rate the Spanish-language Parent Tips:
Enseñe a los niños sobre los protectores de
oídos (Teaching Tweens)
Fonts are large enough
and consistent throughout (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s9e. Please rate the Spanish-language Parent Tips:
Enseñe a los niños sobre los protectores de
oídos (Teaching Tweens)
Text is culturally
sensitive (Choose one)
1 Not at all
2 Somewhat
3 Very Much
8 Decline to Answer
9 Does not apply
A17s9g. How satisfied are you with the Noisy Planet Parent Tips: Enseñe a los niños sobre los protectores de oídos (Teaching Tweens) (Choose one)
0 Not at all satisfied
1 Somewhat satisfied
3 Satisfied
4 Very satisfied
8 Decline to Answer
9 Does not apply
Skip to A18a.
A18a. Do the Noisy Planet materials meet your needs and expectations? (Choose one)
1 Not at all
2 Somewhat
3 Very Much
7 Don't Know
8 Decline to Answer
A18b. How likely are the Noisy Planet materials to help you remember to "Turn it down, Walk away, or Use Hearing Protection"? (Choose one)
01 Not at all
02 Somewhat
03 Very Much
07 Don't Know
97 Don’t remember
98 Decline to Answer
A18c. How likely are the Noisy Planet materials to help children "Turn it down, Walk away, or Use Hearing Protection"? (Choose one)
01 Not at all
02 Somewhat
03 Very Much
07 Don't Know
97 Don’t remember
98 Decline to Answer
A18d. Do you think the Noisy Planet materials help parents teach tweens to remember to "Turn it down, Walk away, or Use Hearing Protection"? (Choose one)
01 Not at all
02 Somewhat
03 Very Much
07 Don't Know
97 Don’t remember
98 Decline to Answer
A18e. How likely are you to use any of the materials, ideas, tips, or tools in the future? (Choose one)
01 Not at all
02 Somewhat
03 Very Much
07 Don't Know
97 Don’t remember
98 Decline to Answer
A19. What other kinds of Noisy Planet materials would you find useful?
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A20. Do you have other comments about or suggestions for Noisy Planet materials?
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A21. The next questions are about you.
Are you of
Hispanic/Latino/Spanish origin? 1 Yes
2 No
8 Decline to Answer
A22. How would you describe your race? (Select all that apply) (Check all that apply)
__ White/Caucasian
__ Black/African American
__ Asian
__ American Indian/Alaska Native
__ Native Hawaiian or Other Pacific Islander
__ Decline to Answer
A23. What is your gender? (Choose one) 1 Male
2 Female
8 Decline to Answer
A24. Which of the following categories best describes the highest educational level you attained? (Choose one)
1 Less than a high school degree
2 High school degree or GED
3 Some college/technical school/associates degree
4 College degree
5 Some graduate school or more
6 Other
8 Decline to Answer
If A24 is not equal to 6, then skip to end of questionnaire.
A24_o. Please specify other educational level:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Skip to end of questionnaire.
Version
1 (DE28983EN) Page
| File Type | text/rtf |
| File Title | Noisy Planet-Customer Satisfaction Survey |
| Author | NOVA |
| Last Modified By | debwas |
| File Modified | 2013-03-15 |
| File Created | 2013-03-15 |