Attachment A34:
Pediatric Mental Health Care Access Program
Program Implementation Survey
Follow-Up Email
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 A34: Pediatric Mental Health Care Access Program
Program Implementation 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 Program Implementation 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 “Begin Survey” below to complete the Program Implementation Survey.
Please complete the survey by [insert date].
The survey will take you about 20 minutes to complete.
You will have the option to save your progress at any point and return to the survey later.
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,
The HRSA MCHB Evaluation Team
| 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 |