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Do you need information on any of the following? (Check all that apply)	1. Smallpox vaccine 2. How to give the smallpox vaccination 3. Santa Cruz County Smallpox Vaccination Plan and Program 4. Smallpox basics 5. Smallpox vaccine contraindications 6. CDC smallpox hotline for providers 7. Vaccine Information Statement (VIS) 8. Advisory Committee on Immunization Practices (ACIP) Smallpox Vaccination Recommendations 9. Vaccine evaluation and follow-up 10. Evaluation, management and treatment of adverse events 11. FAQs about smallpox 12. Other (please indicate your preference here)
How would you like to receive information from the Public Health Department? (Rank in order from 1 through 8, with 1 being the best way for you to receive information and 8 being your least favorite way.)	Choose from this list 1 2 3 4 5 6 7 8 Email Choose from this list 1 2 3 4 5 6 7 8 Fax Broadcast Choose from this list 1 2 3 4 5 6 7 8 Public Health Web Site Choose from this list 1 2 3 4 5 6 7 8 Training Sessions Choose from this list 1 2 3 4 5 6 7 8 Newsletter Choose from this list 1 2 3 4 5 6 7 8 Medical staff office at hospital/clinic Choose from this list 1 2 3 4 5 6 7 8 Hard copies through snail mail Choose from this list 1 2 3 4 5 6 7 8 Through the Medical Society