Email address that all surveys for this record should be delivered to
Today M-D-Y
Please name the population health improvement project or program you are working on.
* must provide value
Which of the following Duke Health missions does your project align with?
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Education
Research
Clinical/Service
Activity Type(s)
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Care management
Clinical care
Community advisory board
Community engagement core
Community health care delivery
Community planning and engagement
Education
Informatics
Patient advisory council/board
Research
Study advisory group
Other
Please specify other activity type
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Senior leader first name
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Senior leader last name
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Senior leader credentials (e.g. MD, PhD, MA, MS, etc.)
Senior leader phone number
Senior leader email
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Please enter the Duke affiliation of the senior leader for this population health project.
Is there another senior leader of this project?
Yes No
Senior leader credentials (e.g. MD, PhD, MA, MS, etc.)
Senior leader phone number
Please enter the Duke affiliation of the senior leader for this population health project.
Is the senior leader the contact person for this project?
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Yes No
First name
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Last name
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Email
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You entered the name of a person to contact but did not provide an email address or phone number.
Please provide an email address or phone number for the contact person.
Please mark all Duke schools, centers, and institutes affiliated with this project.
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Duke Divinity School
Duke Law School
Fuqua School of Business
Nicholas School of the Environment
Pratt School of Engineering
Sanford School of Public Policy
School of Medicine
School of Nursing
Trinity College of Arts & Sciences
Other
Please enter the name of your center, institute, or department affiliation within the Duke Divinity School
Please enter the name of your center, institute, or department affiliation within the Duke Law School
Please enter the name of your center, institute, or department affiliation within the Fuqua School of Business
Please enter the name of your center, institute, or department affiliation within the Nicholas School of the Environment
Please enter the name of your center, institute, or department affiliation within the Pratt School of Engineering
Please enter the name of your center, institute, or department affiliation within the Sanford School of Public Policy
Please enter the name of your center, institute, or department affiliation within the Duke School of Medicine
Please enter the name of your center, institute, or department affiliation within the Duke School of Nursing
Please enter the name of your center, institute, or department affiliation within the Trinity College of Arts & Sciences
Please specify other Duke affiliation
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Approximately what date did or will this project or program start?
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Today M-D-Y
Approximately what date did or will this project or program end?
If the project is ongoing, meaning it has no end date, please specify below.
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Today M-D-Y
This project is ongoing or has no end date.
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Yes No
How frequently is the project performed?
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Daily
Weekly
Monthly
Quarterly
Biannually (twice a year)
Annually
Not Applicable
Please provide us with a 150 word summary of the population health improvement project or program.
Here are things to consider for creating your summary:
• How does your program/project aim to improve population health?
• How does your program partner with Duke and community?
• What are your actual or anticipated population health outcomes?
• Describe your plans to extend or expand this program or project.
• What is the innovative nature of your program/project?
• What are the goals and objectives of your efforts?
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If you have a website that describes your project or program, please enter it.
Do you allow others to come and speak to your group to gather input and suggestions on their community and population health improvement efforts?
Yes No
Please mark all of the types of Duke partners for this project.
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Faculty
Fellow
Postdoc
Staff
Student
Other
Please specify other Duke partner type
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What health factors does this project aim/seek to address? Mark all that apply.
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Asthma
Behavioral health
Cancer
Cardiovascular disease
Childhood development
COVID-19
Dementia
Diabetes
Education
Employment
Environmental health
Food / nutrition
Health policy / systems
Housing
Infectious conditions
Mental health
Obesity
Pregnancy
Sexual health
Smoking
Social influences on health
Substance abuse
Transportation
Violence
Other
Please specify other health factor
* must provide value
What is the target population(s) of your project? Mark all that apply.
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Adults
African Americans
Asians
Children
Elderly
Families
Hispanics
Homeless
Immigrants
LGBTQI
Men
Non-Hispanic black
Non-Hispanic white
Parents
Pregnant Women
Unemployed
Women
Young Adults
Youth
Other
Please specify other target population
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Where is the target impact area of this project? Mark all that apply.
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Local (Durham)
Regional (RTP)
State (NC)
National Region (South East US)
National (US)
International
Other
Please name the specific target area of impact for this project.
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Please mark all Durham community partners involved with your project.
* must provide value
No Community Partners
100 Men in Black
African American Dance Ensemble
Alliance Behavioral Health
Alliance for Community Care
AME Zion Church
American Lung Association
Black Nurses
Boys and Girls Club
Healing with CAARE Inc.
Carolina Outreach
Center for Child and Family Health
Chinese American Family Association
Chinese Church
Church World Service
Community Health Coalition
DataWorks
Delta Sigma Theta
Dementia Inclusive Durham
Department of Social Services
Diaper Bank
Duke Connected Care
Durham City Government
Durham Connects
Durham County Department of Public Health
Durham County Government
Durham Crisis Collaborative
Durham Housing Authority
Durham Parks and Recreation
Durham Public Schools
Durham Tech
East Durham Children's Initiative
El Centro Hispano
El Hispano
First Calvary Baptist Church
Food Bank
Healthy Start Academy
Holton Career and Resource Center
Immaculata Catholic Church
Islamic Association
LGBTQ Center
Lincoln Community Health Center
Community Family Life & Recreation Center at Lyon Park
Morning Star Missionary Baptist Church
National Institute of Environmental Health Sciences
NC Central University
NC Health and Human Services
NC Refugee Health Program
National Institutes of Health (NIH)
Partnership for a Healthy Durham
Partnership for Seniors
Project Access
Red Cross
River Church
Senior PharmAssist
Student U
Together for Resilient Youth (TRY)
TROSA
Urban Ministries
VA Medical Center
Walltown Clinic
Walltown Ministerial Alliance
Watts Clinic
Y.O.G.A for Youth
Other
Please provide the name of any other Durham community partners involved with your population health effort.
* must provide value
What are the community sectors you partner with?
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Business
Community Development
Education
Faith Community
Government
Health Care
Nonprofits
Philanthropy/Investors
Public Health
Other
Please specify other community sector
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Does your project target any specific neighborhood?
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Yes No
Which neighborhood?
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Does your project target any specific zip code(s)?
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Yes No
Which zip code(s)?
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27278
27503
27517
27560
27572
27613
27701
27703
27704
27705
27706
27707
27708
27709
27710
27711
27712
27713
All of the above
Indicate the sources of funding that supports your population health improvement project or program. Mark all that apply.
* must provide value
Duke Health
Duke University
Private Foundation
Federal Grant
Governmental Agency
Donor
Volunteer
Other
Please specify other funding source
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Do you know of any other faculty or staff at Duke that are leading Population Health Improvement efforts in Durham?
* must provide value
Yes No
Please enter the name(s) and email address(es) of the faculty or staff members that you know are working on Population Health Improvement efforts in Durham.
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After submitting this survey, you will be provided a link to a PDF copy of your survey responses. If, after reviewing your responses, you would like to change your answers to this survey, please contact Niasha Fray at niasha.fray@duke.edu.
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