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Core Competencies Feedback Form
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Do you feel the Core Competencies need to be revised?
Yes
No
Clear selection
Please explain:
Your answer
If the Core Competencies are revised, what changes would you like to see?
(Select all that apply.)
Simplify language
Add domains (for list of domains:
www.phf.org/competenciesdomains
)
Remove domains
Add competencies
Remove competencies
Add tiers (for list of tiers:
www.phf.org/competenciestiers
)
Remove tiers
Other:
Please explain:
Your answer
What changes would you NOT like to see?
(Select all that apply.)
Simplify language
Add domains (for list of domains:
www.phf.org/competenciesdomains
)
Remove domains
Add competencies
Remove competencies
Add tiers (for list of tiers:
www.phf.org/competenciestiers
)
Remove tiers
Other:
Please explain:
Your answer
What would help you or your organization better use the Core Competencies?
Your answer
What else would you like us to know about the Core Competencies?
(e.g., in general, use or barriers to use, formatting)
Your answer
Demographic Information
How many years have you been a public health professional?
Your answer
Where do you currently practice, teach, or conduct research on public health?
Academic institution
Government-federal
Government-state
Government-local
Government-territory
Government-tribal
Healthcare services
Nonprofit organization
Private industry
Self employed
Does not apply
Other:
Primary Professional Role(s):
(Select up to three.)
Administrative Support Staff
Administrator/Director/Manager
Allied Health Professional
Biostatistician/Epidemiologist/Statistician
Data Analyst
Environmental Health Specialist
Emergency Responder/Planner
Faculty/Educator
Health Educator
Informatician
Laboratory Professional
Nurse
Physician
Researcher
Student
Other:
Zip code of where you work, volunteer, or go to school:
Your answer
Country:
(IF OUTSIDE OF U.S.A.)
Your answer
Name:
(optional)
Your answer
E-mail address:
(optional)
Your answer
Please keep me informed about the Core Competencies review process through the Council on Linkages Update.
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