Thank you for your participation in this survey opportunity. The Maine AHEC Network seeks your input about the necessary knowledge and skills Maine health professionals need in order to work collaboratively across sectors to address health disparities, advance health equity, and improve health outcomes and quality of life for their patient/client populations, health care systems, and communities.

This survey is designed to assess your baseline knowledge, skills, and competencies regarding Upstream issues that lead to health problems and health care utilization downstream. You are not required to complete this survey, it is voluntary. We believe there are minimal risks associated with your participation; however, a risk of breach of confidentiality always exists. We will minimize any risks by sharing information you provide in aggregate with staff and potential funders, and your individual answers will be kept confidential. We will not require you to provide any personally identifying information to participate in this survey.

Please take your time and answer the questions fully to the best of your ability. Your feedback and experiences will impact how we structure continuing education, workforce development, and health professions student learning opportunities focused on Upstream issues. This survey should take approximately 15 minutes to complete. We encourage you to finish this in one sitting to avoid any lost data due to connectivity issues.

We know your time is valuable and we greatly appreciate your help and thoughtful feedback. If you have questions about this survey, please contact Elizabeth Mann, emann1@une.edu.

READ THIS: In the following questions, we define Upstream issues as the general socio-economic, cultural and environmental conditions—including living and working conditions, social and community networks and individual lifestyle factors— which affect a wide range of health risks and outcomes.

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