Prevent Blindness America: Survey - Policy Issue Buzzmeter Survey

Policy Issue Buzzmeter Survey

Dear CEO Association:

Prevent Blindness America would be grateful for your assistance with completing the brief survey below. The survey is a tool by which we hope to learn about the most relevant issues you are hearing about in your communities. Not unlike a “buzz meter,” your feedback will help us evaluate the process and parameters of our position statements and fact sheets. Thank you for your participation.

Sincerely,

Joel Kurzman

Question - Not Required - Are you aware that PBA issues position statements on eye and vision related issues?

Question - Not Required - Have you used these position statements to (please check all that apply)

	guide your state/local government affairs
	guide/inform your public health work
	other
	I have not used Prevent Blindness America position statements

Question - Not Required - If you have used PBA position statements, please provide details about how you have used them, and with what results.

Question - Not Required - Do you think PBA's current array of position statements is sufficiently comprehensive in scope?

Question - Not Required - Please explain.

Please indicate if you have ever engaged, or been asked to engage, the following issues (check all that apply):

Question - Not Required - Safety

	Tanning salon eye protection
	Sports eye protection
	School eye protection (e.g. science classroom)
	Work place eye protection

Question - Not Required - Access to Care

	Medicaid adult vision coverage
	Medicaid behavioral incentives, (e.g., vision coverage as a "bonus" service in exchange for certain health behaviors)
	Medicare "Welcome to Medicare" eye exam
	Mandated private insurance inclusion of vision coverage
	Medicare coverage of eyeglasses/addressing refractive error
	Universal health care
	S-CHIP reauthorization

Question - Not Required - Vision Screening Protocols and Mandated Eye Exams

	EPSTD vision screening protocols
	Head Start vision screening protocols
	School-based vision screening protocols
	Mandated eye exams in schools
	Drivers license vision testing protocols
	Mandated newborn vision screening

Question - Not Required - Miscellaneous

	Diabetes care standards
	Drivers license vision screening intervals
	Low vision driving regulations
	Adequate reimbursement for doctors
	Avastin vs. Lucentis
	Post-surgical co-management
	Contact lens maintenance
	Use of over the counter reading glasses
	AMD and vitamins
	AMD and smoking
	Retinoblastoma
	Stem-cell research

Issue Ranking

Please provide your insight into which issues are important topics for formal Prevent Blindness America position statements. Choose "very important" for those topics you believe require a formal position statement from Prevent Blindness America, and "not at all important" for those topics which you believe are not relevant or appropriate for a formal PBA position statement.

Safety

10.

Question - Not Required - Tanning salon eye protection very important
somewhat important
not at all important

11.

Question - Not Required - Sports eye protection very important
somewhat important
not at all important

12.

Question - Not Required - School eye protection (e.g. science classroom) very important
somewhat important
not at all important

13.

Question - Not Required - Workplace eye protection very important
somewhat important
not at all important

Access to Care

14.

Question - Not Required - Medicaid adult vision coverage very important
somewhat important
not at all important

15.

Question - Not Required - Medicaid behavioral incentives, (e.g., vision coverage as a "bonus" service in exchange for certain health behaviors) very important
somewhat important
not at all important

16.

Question - Not Required - Medicare "Welcome to Medicare" eye exam very important
somewhat important
not at all important

17.

Question - Not Required - Mandated private insurance inclusion of vision coverage very important
somewhat important
not at all important

18.

Question - Not Required - Medicare coverage of eyeglasses/addressing refractive error very important
somewhat important
not at all important

19.

Question - Not Required - Universal health care very important
somewhat important
not at all important

20.

Question - Not Required - S-CHIP reauthorization very important
somewhat important
not at all important

Vision Screening Protocols and Mandated Eye Exams

21.

Question - Not Required - EPSTD vision screening protocols very important
somewhat important
not at all important

22.

Question - Not Required - Head Start vision screening protocols very important
somewhat important
not at all important

23.

Question - Not Required - School-based vision screening protocols very important
somewhat important
not at all important

24.

Question - Not Required - Mandated eye exams in schools very important
somewhat important
not at all important

25.

Question - Not Required - Drivers license vision testing protocols very important
somewhat important
not at all important

26.

Question - Not Required - Mandated newborn vision screening very important
somewhat important
not at all important

Miscellaneous

27.

Question - Not Required - Diabetes care standards very important
somewhat important
not at all important

28.

Question - Not Required - Drivers license vision screening intervals very important
somewhat important
not at all important

29.

Question - Not Required - Low vision driving regulations very important
somewhat important
not at all important

30.

Question - Not Required - Adequate reimbursement for doctors very important
somewhat important
not at all important

31.

Question - Not Required - Avastin vs. Lucentis very important
somewhat important
not at all important

32.

Question - Not Required - Post-surgical co-management very important
somewhat important
not at all important

33.

Question - Not Required - Contact lens maintenance very important
somewhat important
not at all important

34.

Question - Not Required - Use of over the counter reading glasses very important
somewhat important
not at all important

35.

Question - Not Required - AMD and vitamins very important
somewhat important
not at all important

36.

Question - Not Required - AMD and smoking very important
somewhat important
not at all important

37.

Question - Not Required - Retinoblastoma very important
somewhat important
not at all important

38.

Question - Not Required - Stem-cell research very important
somewhat important
not at all important

39.

Question - Not Required - Are there issues in which your affiliate has been asked to engage but are not listed above? (And do you think PBA should develop a position statement on these issues?)

40.

Please provide your contact information.

Name:

First Required	Middle Required	Last Required

Email:

If you respond and have not already registered, you will receive periodic updates and communications from Prevent Blindness America.

Remember me. What's this?

Thank you for participating in the survey. Please call or email me with any questions: jkurzman@preventblindness.org, 1-312-363-6037.

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