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Help us create a magazine that works for you. We welcome all of your comments and suggestions. (Non U.S. residents please check here and direct your comments and suggestions to mchdata@uic.edu.) 1. How did you learn about our MCH Data Magazine? Received postcard announcement Word of mouth Surfing the Net Other: 2. What types of presentation features and formats would you like to see in future editions of MCH Data Magazine ? Select all that apply. Printed Articles/Features Audio Video Slide Presentations Conferencing with Colleagues Workshops/seminar presentations Interviews with MCH & CSHCN Leaders Frequently Asked Data Questions "How to..." methods articles Articles on an agency or program Other: 3. Enter additional comments and suggestions in the space provided below: Tell us about yourself: 4. Select the one that applies from each category. A. Federal State Regional County City University Private, non-profit Private (Other) Other: B. Maternal and Child Health Children with Special Health Care Needs Health Department Rehabilitative Services Assessment, Statistics & Evaluation State Systems Development Family Services Research and Development (Other) Other: C. MCH Director CSHCN Director Medical Director Program Director Project Director Epidemiologist Statistician Information Systems Program Analyst Program Staff Policy Analyst Nurse Consultant Nutrition Consultant Parent/Family Representative Researcher (Other) Other: 5. Tell us how to get in touch with you: (*required field) *First Name *Last Name Degree(s) Title *Institution *Address 1 Address 2 Address 3 *City *State Select from list Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *Country *Postal Code E-Mail Tel Fax
Help us create a magazine that works for you. We welcome all of your comments and suggestions. (Non U.S. residents please check here and direct your comments and suggestions to mchdata@uic.edu.)
1. How did you learn about our MCH Data Magazine?
Received postcard announcement
Word of mouth
Surfing the Net
Other:
2. What types of presentation features and formats would you like to see in future editions of MCH Data Magazine ? Select all that apply.
Printed Articles/Features Audio Video
Slide Presentations
Conferencing with Colleagues
Workshops/seminar presentations
Interviews with MCH & CSHCN Leaders
Frequently Asked Data Questions
"How to..." methods articles
Articles on an agency or program
3. Enter additional comments and suggestions in the space provided below:
Tell us about yourself:
4. Select the one that applies from each category.
A. Federal State Regional County City University Private, non-profit Private (Other) Other:
B. Maternal and Child Health Children with Special Health Care Needs Health Department Rehabilitative Services Assessment, Statistics & Evaluation State Systems Development Family Services Research and Development (Other)
C. MCH Director CSHCN Director Medical Director Program Director Project Director Epidemiologist Statistician Information Systems Program Analyst Program Staff Policy Analyst Nurse Consultant Nutrition Consultant Parent/Family Representative Researcher (Other) Other:
5. Tell us how to get in touch with you: (*required field)
*First Name
*Last Name
Degree(s)
Title
*Institution
*Address 1
Address 2
Address 3
*City
*State Select from list Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Country
*Postal Code
E-Mail
Tel
Fax
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Copyright © 1998 MCH Data Magazine, a product of MCH Analytic Skills Online, a project funded by a grant from the Maternal and Child Health Bureau, (DHHS/PHS/HRSA) 1 MCU 17D002-01-0. All rights reserved. Revised: July 10, 1998.