Genetics Needs Assessment Survey

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 Continue button below.

I Agree

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?

A gene includes many different chromosomes

One gene equals one chromosome

Chromosome are converted to gene during meiosis

A chromosome includes many different genes

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

Trisomy of chromosome 21

Trisomy of chromosome 18

Monosomy of chromosome 21

Monosomy of chromosome 18