Exit this survey FEEDBACK: 2011 NBDPN Birth Defects Prevention Month Packet We welcome input and feedback on the Birth Defects Prevention Month materials. Your responses will be used to improve future packets. Question Title * 1. Activities or events coordinated for Birth Defects Prevention Month. Please specify: Question Title * 2. Collaborators in promoting Birth Defects Prevention Month. Public health department Hospital/health clinic University March of Dimes Other If other, please specify: Question Title * 3. Materials used to promote Birth Defects Prevention Month (check all that apply). Proclamation Template Sample News Release HCP Sample Letter Highlighted BD Resources Resources on the Internet Factsheets on Selected Health Topics Preventing BD Brochure and Poster Potential Data Sources "10 things you should know about BD" factsheet March of Dimes Education Materials CDC Order Forms Question Title * 4. Visited NBDPN web site (www.nbdpn.org) for BD Prevention Month materials and resources. Yes No Question Title * 5. Improvement suggestions. Question Title * 6. Future topic suggestions. Question Title * 7. Additional information (optional). Name: Organization: State: Phone: E-mail: Thank you for completing the survey! Done