Fall Prevention Month Toolkit Evaluation
RequiredRequired Question(s)
Please complete this evaluation if you downloaded any resources from the Fall Prevention Month Toolkit for adults and/or children.

The purpose of this survey is to explore the utility of our Fall Prevention Month toolkits. Your responses will help our team improve the toolkits and continue future Fall Prevention Month campaign activities.

As our thank you for completing this survey, please provide your email address below if you would like to be entered into a draw for one of three $50 gift cards.* 
 
* You are allowed to complete a maximum of two evaluation submissions per person:  One submission for "Fall Prevention Month Evaluation for Event Organizers 2018" and one submission for "Fall Prevention Month Toolkit Evaluation 2018." The draw is open to individuals who submit these evaluations and provide their email address. The odds of winning a gift card depend on the number of evaluations submitted. A random draw for the gift cards will take place on February 1st, 2019 at 9:00am EST. Winners will be contacted by email and must claim their gift card by the due date indicated in the email or will forfeit the prize. The gift card must be accepted as awarded and cannot be substituted. Winners must provide a mailing address in order to receive their gift card by courier mail or an email to receive their gift card electronically. Your email address will not be used for any other purposes than to contact you if you are a winner.
 
1.

Email address:

 

50 characters left.
2.
How did you use the Fall Prevention Month Toolkit? Select all that apply.

For information purposes related to your work
For information purposes to share with your target audience (e.g. adults, older adults, caregivers, or parents)
For information purposes to share with staff/colleagues
To plan a fall prevention activity or initiative for your target audience (e.g. adults, older adults, caregivers, or parents)
To plan a fall prevention activity or initiative for staff/colleagues
To inform/change your fall prevention practice or activities
To increase your knowledge regarding fall prevention and evidence-based practice
Other  
Required 3.

Which toolkit did you use? Select all that apply:

Toolkit for Adults/Older Adults
Toolkit for Children
4.
How useful were the resources in each category of the Fall Prevention Month Toolkit for adults/older adults?
 Not useful Somewhat useful Neutral Useful Very useful N/A 
Information for Older Adults and Caregivers
Promotional and Media
Ideas for Activities
Practitioner Resources
Statistics and Infographics
5.
How useful were the resources in each category of the Fall Prevention Month Toolkit for children?
 Not useful Somewhat useful Neutral Useful Very useful N/A 
Information for Parents and Caregivers
Information for Health Care Professionals to share with Parents and Caregivers
Promotional and Media
Ideas for Activities
Statistics and Infographics
6.
What was the most useful component in the Fall Prevention Month Toolkit and why?

 

350 characters left.
7.
What was the least useful component in the Fall Prevention Month Toolkit? What would make this component more useful?

 

350 characters left.
8.

What else would you like to see included in the Fall Prevention Month Toolkit?

 

350 characters left.
9.

Any other comments about the Fall Prevention Month Toolkit?

 

350 characters left.