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1 - Do you think the information in Under the Rainbow is:*
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2 - Please indicate how important it is to you to read about the following topics in future issues of Under the Rainbow.
Healthy eating and exercising*
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Emotional issues, such as anxiety, depression anger, and peer pressure*
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Conditions that affect many children, such as asthma, cancer, and diabetes.*
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New baby care*
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Women’s health topics*
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Injury prevention and safety*
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Health information and tips for parents*
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Other [please describe]
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3 - How do you prefer to receive this publication, Under the Rainbow?*
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4 - Are you interested in:
Following up on links (URLs) in Under the Rainbow articles*
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Having more interactive features on our Web site, such as blogs where you can ask health questions and get answers from the experts.*
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5 - Are you interested in receiving health information from Rainbow Babies & Children’s Hospital via e-mail?*
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If Yes, please write in your email address:
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6 - As a result of reading Under the Rainbow, have you:
Visited the Rainbow Babies & Children’s Hospital Web site for more information.*
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Entered a drawing.*
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Scheduled an appointment with a physician or service*
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Chosen a Rainbow Babies and Children’s Hospital pediatrician.*
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7 - Please rank the importance of each of these to you in choosing a pediatrician for your child’s care.
Recommendation from a doctor, friend, or family member
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Office location close to your home
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The hospital where the pediatrician is affiliated
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8 - When you receive Under the Rainbow, do you:
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9 - Have you shared any of the information found in Under the Rainbow with others?
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Please check all those with whom you have shared information
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10 - What are the ages of your children?
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11 - Do any of your children see a Rainbow Babies & Children’s Hospital pediatrician?
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If no, what is the main reason your child(ren) does not use a Rainbow Babies & Children’s Hospital pediatrician?
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Which plan?
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Other reason (describe)
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12 - Are you
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13 - Which best describes your annual household income?
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