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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Florida Injury Prevention Survey

Contact Injury Prevention

The purpose of this survey is to assist the Florida Department of Health, Injury Prevention Program (IPP) to try to determine of the number of organizations and agencies involved in injury prevention activities throughout the state, as well as to serve as a resource for contacts in the injury prevention community.

To protect your privacy, please do not disclose or share any sensitive or confidential health and financial related information within this form.


Contact Information

The following questions will allow us to identify contacts for injury prevention activities and programs in your area.









Statewide
Multiple Counties (Please specify below)
Single County (Please specify below)



Yes
No

Yes
No
Note: If at any time you wish to be removed from the Resources List, please contact the IPP at the address listed at the bottom of this page.

Injury Prevention Activities

The following questions pertain to the type of injury prevention activities that your organization or agency participated in during the last calendar year.


Bicycle Safety
Child Passenger Safety
Drowning Prevention
Fall Prevention
Fire Safety / Burn Prevention
Motor Vehicle Safety
Motorcycle Safety
Occupational Safety
Pedestrian Safety
Poisoning Prevention
Suicide Prevention
Violence Prevention
Other (Please specify below)


Community Events
Educational Campaigns
Printed Materials
Public Service Announcements (Radio or Television)
Other (Please specify below)


Training


General Injury Prevention
Bicycle Safety
Child Passenger Safety
Drowning Prevention
Fall Prevention
Fire Safety / Burn Prevention
Marketing Injury Prevention
Motor Vehicle Safety
Motorcycle Safety
Occupational Safety
Pedestrian Safety
Poisoning Prevention
Suicide Prevention
Violence Prevention
Other (Please specify below)


Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this program by phone or in writing.

If you have any questions or concerns you wish to discuss, please contact the Injury Prevention Program.
4052 Bald Cypress Way, Bin A22
Tallahassee, FL 32399-1722
Phone: 850-245-4440
Fax: 850-414-6470