Attachment A32:
Pediatric Mental Health Care Access Program Practice-Level Survey
HRSA Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Depression and Related Behavioral Disorders Programs Project
October 2019
Attachment A32: Pediatric Mental Health Care Access Program Practice-Level Survey
Follow-Up Email
Thank you for your participation in the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) Pediatric Mental Health Care Access (PMHCA) program—[insert program name].
[Insert name of state] needs your input! We have not received your response to the Practice-Level Survey. This is your last chance to participate in and support HRSA MCHB’s evaluation to increase access to behavioral health services in your state.
Directions
Here are the directions for completing the survey:
Click on the following link to complete the Practice-Level Survey: [Insert link here].
The survey will take you about 15 minutes to complete.
You will have the option to save your progress at any point and return to the survey later. However, please note that to return to the survey, you must use the same device and web browser (e.g., Chrome, Internet Explorer) that was used to start the survey.
As you complete the survey, please click “Next” at the bottom of each page to save your progress.
When finished, click "Done" at the bottom of the final page to record your responses.
If you are having difficulty accessing the web-based survey or would prefer to complete a fillable and printable PDF version of the survey, please notify JBS at [insert email address].
Kind regards,
[Insert State/Program Name]
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Attachment B5 |
Author | Laura Quicquaro |
File Modified | 0000-00-00 |
File Created | 2022-06-09 |