Part IV of 2005 - 2010 CHA Summary Form - Process Information

1. _____ a. Size of the health issue

   _____ b. Seriousness of the health issue

   _____ c. Whether intervention implemented were measurable

   _____ d. None of the above

   _____ e. Other: __________________________________

2. _____ a. Local health department staff

   _____ b. Organizational partners

   _____ c. Community Leaders

   _____ d. None of the above

   _____ e. Other: __________________________________

3. _____ a. MAPP (Mobilizing for Action through Planning and Partnerships; ( http://mapp.naccho.org/MAPP_Home.asp )

   _____ b. CDC's Framework for Program Evaluation ( http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4811a1.htm )

   _____ c. APEX-PH

   _____ d. Other:___________________

   _____ e. None

4. _____ a. In providing input

   _____ b. Data collection

   _____ c. Data analysis

   _____ d. Part of a community health assessment team

   _____ e. None of the above

   _____ f. Other: __________________________________

5.                              
6. <_____1 _____2 ____3 _____4 _____5