redcap.lphi.org
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Submitted URL: https://stph.mangoapps.com/tu/bIhgsE
Effective URL: https://redcap.lphi.org/redcap/surveys/?s=RKPR9N4WDACHX9XN
Submission: On October 08 via manual from US — Scanned from US
Effective URL: https://redcap.lphi.org/redcap/surveys/?s=RKPR9N4WDACHX9XN
Submission: On October 08 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMName: form — POST /redcap/surveys/index.php?s=RKPR9N4WDACHX9XN
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<div data-mlm-text-align="left">
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class="opacity75" style="display:none;" data-rc-lang="data_entry_203" data-mlm-text-align="left">Value removed!</span>
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<img alt="Loading..." src="/redcap/redcap_v14.3.13/Resources/images/progress_circle.gif"> <span data-rc-lang="data_entry_64" data-mlm-text-align="center">Loading...</span>
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<div data-kind="field-label" data-mlm-text-align="left">
<div data-mlm-field="lang_pref" data-mlm-type="label" data-mlm-text-align="left">Please select your preferred language.</div>
<div class="requiredlabel" aria-label="Question required." data-mlm-text-align="left">* <span data-rc-lang="data_entry_39" data-mlm-text-align="left">must provide value</span></div>
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<div data-kind="field-label" data-mlm-text-align="left">
<div data-mlm-field="minage" data-mlm-type="label" data-mlm-text-align="left">Are you 18 years of age or older?</div>
<div class="requiredlabel" aria-label="Question required." data-mlm-text-align="left">* <span data-rc-lang="data_entry_39" data-mlm-text-align="left">must provide value</span></div>
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</div><input type="hidden" name="external-modules-temporary-record-id" value="external-modules-temporary-record-id-1728422670-99738390">
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Text Content
The code block below illustrates how one might use # and // as comments in your logic and calculations. # Text can be put here to explain what the logic/calculation does and why. if ([field1] = '1' and [field2] > 7, // This comment can explain what the next line does. [score] * [factor], // Return '0' if the condition is False. 0 ) Working... 0% means 50% means 100% means This value you provided is not a number. Please try again. This value you provided is not an integer. Please try again. The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again. The value you provided must be within the suggested range The value you provided is outside the suggested range This value is admissible, but you may wish to double check it. The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19). This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now. This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now. This field must be a valid email address (like joe@user.com). Please re-enter it now. The value you provided could not be validated because it does not follow the expected format. Please try again. Required format: qaaprqAswGxnxAG5L4BQJznzeCL3nWVYBDdJSxJESksZrUTSxGgvH8Fe2uX2EYsN9JmoCzzcGHNKskEBkq6tfgqUYnxHjpN3gKjt8dgGRAjzch3eYg7YCr2yEkgaTe8i 2024 COMMUNITY HEALTH NEEDS ASSESSMENT A A A English EnglishEspañol/SpanishTiếng Việt/Vietnamese Thank you for participating in this survey! Louisiana Public Health Institute and local United Way chapters in our state are partnering to conduct Community Health Needs Assessments to ensure that nonprofit hospitals in Louisiana are meeting the health priorities of people in the community. Your thoughts are very valuable to know how health services can be improved. This survey should take about 10 minutes to complete. Your answers are confidential and will not affect any services or benefits you are currently receiving. You may skip any question you do not feel comfortable answering. If you would like to be entered in a gift card raffle, you have the option of providing your email address at the end of the survey. Thank you for your time! Cannot select choice! The maximum number of choices has been selected.Value removed! Loading... Please select your preferred language. * must provide value English Español/Spanish Tiếng Việt/Vietnamese reset Are you 18 years of age or older? * must provide value Yes No reset Next Page >> YOU HAVE SELECTED AN OPTION THAT TRIGGERS THIS SURVEY TO END RIGHT NOW. To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button. Powered by REDCap