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2013
November
G
Genetics Needs Assessment Survey
Genetics Needs Assessment Survey
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
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button below.
I Agree
Age
Gender
Male
Female
Perceived relevance, nurses’ confidence and education related to genetics.
Strong relevance
Little relevance
Minimal relevance
No relevance
What is the relevance of genetics to your daily work?
Very confident
Little confidence
Minimal confidence
No confidence
How confident do you feel about using genetics in your daily work?
Definitely
I’d like to, but it isn’t a priority
I’m not sure
No
Would you like to have more education in genetics to help you in your daily work?
What is the relationship between a gene and a chromosome?
A gene includes many different chromosomes
One gene equals one chromosome
Chromosome are converted to gene during meiosis
A chromosome includes many different genes
What is the normal human male karyotype?
46,XX
46,XY
44,XX
44,XY
What is the definition of a mutation?
The location of a gene on a chromosome
A change in a gene that can be harmful, beneficial, or have no effect
A group of 3 RNA bases
A variation in the DNA shared by a large percentage of the population
What is the cause of Down syndrome?
Trisomy of chromosome 21
Trisomy of chromosome 18
Monosomy of chromosome 21
Monosomy of chromosome 18
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