Infant Risk Screening Post-Test

Thank you for taking the time to complete this brief post-test.

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* 1. Please complete the following information below

First Name *

Last Name

Job Title

Email Address *

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* 2. Which office do you work at?

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* 3. Healthy Start is a comprehensive program promoting optimal prenatal health and developmental outcomes for A and B in Florida.

Fathers, Babies

Pregnant Women, Babies

Pregnant Women, Fathers

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* 4. What are the goals of Healthy Start?

Reduce infant and maternal mortality

Decrease the number of low-birth-weight babies

Reduce sleep-related deaths

All of the above

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* 5. What are the screening referral requirements? (Check all that apply)

Mother/Parent has Consented to Infant Screening

Mother/Parent has Consented to Program Participation

Mother/Parent has Consented to Information Release

Must Click Referred under Referral Status

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* 6. What can Healthy Start do for you and your patients?

School Readiness

Help to Quit Smoking

Family planning education

Parenting education and support

Home Visiting

Car Seat Safety

Breastfeeding education and support

All of the above

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* 7. Your knowledge or skills have improved by completing this training

True

False

Infant Risk Screening Post-Test

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* 1. Please complete the following information below

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* 2. Which office do you work at?

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* 3. Healthy Start is a comprehensive program promoting optimal prenatal health and developmental outcomes for A and B in Florida.

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* 4. What are the goals of Healthy Start?

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* 5. What are the screening referral requirements? (Check all that apply)

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* 6. What can Healthy Start do for you and your patients?

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* 7. Your knowledge or skills have improved by completing this training

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* 8. How would you rate your overall learning experience between 1-5?

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* 9. How can we improve the learning experience? (Optional)

Infant Risk Screening Post-Test

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* 1. Please complete the following information below

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* 2. Which office do you work at?

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* 3. Healthy Start is a comprehensive program promoting optimal prenatal health and developmental outcomes for ________A________ and ______B______ in Florida.

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* 4. What are the goals of Healthy Start?

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* 5. What are the screening referral requirements? (Check all that apply)

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* 6. What can Healthy Start do for you and your patients?

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* 7. Your knowledge or skills have improved by completing this training

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* 8. How would you rate your overall learning experience between 1-5?

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* 9. How can we improve the learning experience? (Optional)

* 3. Healthy Start is a comprehensive program promoting optimal prenatal health and developmental outcomes for A and B in Florida.