Latino Seniors Osteoporosis Collaborative Survey
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This online survey is being conducted to gain insights into the ¿Pueden Escucharme Ahora? Project and the CORE Collaborative.

It should take approximately ten minutes to complete. Your candid input is greatly appreciated.

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1. What organization(s) do you represent on the collaborative?
California Hispanic Osteoporosis Foundation (CHOF)
Foundation for Osteoporosis Research and Education (FORE)
La Clinica de la Raza
Latino Consultants
Proctor & Gamble
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2. How would you describe the main goal of the ¿Pueden Escucharme Ahora? Project?
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3. What is your primary role(s) on the project?
Administrative Health Education Technical Support/Expertise
Clinical Outreach
Other:
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4. Do you think you will accomplish your responsibilities on this project within the current timeline? (If you have already accomplished your responsibilities select Already Done)
Unsure Definitely Not Definitely Yes Already Done
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For the following items, please rate how well each project area is working. ( If you are not familiar with an item select Don't Know.)

Don't Know Not Well Somewhat Well Well Very Well
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5. Outreach for Screening Events
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6. Training Project Staff
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7. Screening Events
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8. Tracking Clients
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9. Health Education for Clients
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10. Treatment for Clients
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11. Follow-up and Support for Clients
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12. Overall, how well do you think the project is meeting the needs of the target population?
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13. In what ways do you think these project areas could be improved?

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14. Compared to the planning phase of the project, has communication between collaborative members become more difficult, stayed the same, or improved?
Don't Know Become More Difficult Stayed the Same Improved
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15. What suggestions do you have to strengthen the collaborative process?
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For the following items, please assess the Project's progress toward meeting its program objectives. ( If you are not familiar with an item select Don't Know. )

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16. Objective 1: Increase knowledge and awareness of the risks and dangers of osteoporosis, was well as effective prevention strategies, among Latino families in Central and East Contra Costa County.
Don't Know Poor Fair Good Excellent
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17. Objective 2: Increase access to osteoporosis screening and appropriate follow-up care among older Latinos in Central and East Contra Costa County, taking advantage of "teachable moments" within screening process to provide education.
Don't Know Poor Fair Good Excellent
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18. Objective 3: Increase access to appropriate diagnostic and treatment services for Latino residents identified through screening process.
Don't Know Poor Fair Good Excellent
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19. Objective 4: Provide ongoing reinforcement of prevention and treatment recommendations and regular support to help newly diagnosed osteoporosis patients make and sustain necessary behavior changes.
Don't Know Poor Fair Good Excellent
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20. Objective 5: Evaluate initiative.
Don't Know Poor Fair Good Excellent
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21. Objective 6: Build a strong collaboration.
Don't Know Poor Fair Good Excellent
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22. Please feel free to provide any additional comments or suggestions you may have here:

THANK YOU VERY MUCH FOR YOUR PARTICIPATION!