Asthma - Retahome Survey - MN Dept. of Health

In what state do you work?

In which setting do you primarily work?

Do you currently conduct home assessments to identify environmental triggers of asthma?

If you do not conduct home assessments, does your organization provide referrals to agencies that provide home assessments to identify environmental triggers of asthma?

If you do not conduct home assessments, will you be adding home assessments to identify environmental triggers of asthma as part of your current home visit program?

Do you currently provide patient and family education focused on environmental triggers of asthma?

Please check whether you provide information and/or products on HEPA Portable air cleaners to families based on their specific environmental asthma triggers.

Information provided

Products provided

Please check whether you provide information and/or products on Bed/Pillow encasements to families based on their specific environmental asthma triggers.

Information provided

Products provided

Please check whether you provide information and/or products on Integrated Pest Management to families based on their specific environmental asthma triggers.

Information provided

Products provided

On a scale from 1-5, (1 = very confident and 5 = not confident at all), please rate your level of confidence on educating families and patients about asthma triggers in the home:

On a scale from 1-5, (1 = very confident and 5 = not confident at all), please rate your level of confidence on recommending interventions to families on ways to reduce exposures to asthma triggers:

On a scale from 1-5, (1 = very confident and 5 = not confident at all), please rate your level of confidence on conducting a home assessment for asthma triggers:

On a scale from 1-5, (1 = very useful and 5 = not useful at all), please rate the usefulness of this training:

What topics would be useful for future online trainings on reducing triggers of asthma?

Data, Statistics, and Legislation

Diseases and Conditions

Health Care Facilities and Providers

Healthy Communities, Environments, and Workplaces

Individual and Family Health

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