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1. How familiar are you with NICHQ? *This question is required.
Very familiarFamiliarSomewhat familiarA little bit familiarNot at all familiar
2. Please tell us which of these best describes your primary connection(s) to NICHQ. (Please check all that apply.) *This question is required.
3. Which of the following best describes how frequently you visit NICHQ’s website (www.nichq.org)? *This question is required.
4. Based on your current knowledge of NICHQ, please rate your level of agreement with the following statements. (For each, use a scale of 1-10 with "1" = "do not agree at all" and "10" = "completely agree".) *This question is required.
Space Cell 12345678910N/A
NICHQ is an innovative organization, always pushing the envelope.
NICHQ improves the lives of high-risk children and families.
NICHQ's improvement methods work well.
NICHQ's staff are very knowledgeable about issues affecting children's health.
NICHQ’s work and resources help improve health equity for children.
NICHQ connects me to the best people and ideas for improving children's health.
NICHQ is a leader in improving children's health in our country.
5. All in all, how satisfied are you with NICHQ's products and services? *This question is required.
Very satisfiedSatisfiedNeutralDissatisfiedVery dissatisfied
6. Which of the following topic areas interest you the most? (Please check all that apply.) *This question is required.
  • Disease States/Disorders
  • Practices
  • Issues
  • Other