Health Literacy One Pagers - Evaluation Survey
Instructions: Please help us by providing feedback on the resources(s) you just read. The factsheets are primarily intended for healthcare providers, healthcare professionals and staff to assist you in increasing cultural awareness of African Americans.  Additional Research resources are for all audiences.  Please read all options completely on each question before choosing the option that best matches your response to each question.  Thank you!
Sign in to Google to save your progress. Learn more
Email *
Which group below do you most identify with? *
Which document are you providing feedback on? *
Were the Health Literacy resources helpful to your practice or work? *
Not very helpful
Extremely helpful
Did you learn new information? *
How relevant were the resources to your practice or work?
Not at all relevant
Extremely relevant
Clear selection
Did the educational factsheets increase your cultural awareness of African Americans health practices? *
Required
Did the content increase your understanding of how cultural practices influence health and healthcare practices? *
I understand that spirituality and other beliefs influence how African American patients respond to illness, disease and stress?
Clear selection
Healthcare Providers and Staff: Did or will the information facilitate you to make a change in the way you engage your African American patients? *
Comments *
Healthcare Providers and Staff: What areas in your practice would you be more likely to make a change as a result of this information? Check all that apply. *
Required
Comments *
Which Health Literacy Resources were most helpful to you?   *
Required
Comments *
Would you recommend these resources to other colleagues? *
Comment *
Please click the submit button. Thank you for completing the survey!  
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms