Attachment A44 - Program Implementation Survey Participation Email - JBS_Final

Attachment A44 - Program Implementation Survey Participation Email - JBS_Final.docx

Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project

Attachment A44 - Program Implementation Survey Participation Email - JBS_Final

OMB: 0906-0105

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Program Implementation Survey Participation Email

JBS Administered



Health Resources and Services Administration Evaluation of the Maternal and Child Health Bureau Pediatric Mental Health Care Access and Screening and Treatment for Maternal Mental Health and Substance Use Disorders Programs Project



June 2024



























Thank you for supporting [insert program name]. This program and evaluation are funded by the Health Resources and Services Administration’s (HRSA) Maternal and Child Health Bureau (MCHB) as part of the [Pediatric Mental Health Care Access (PMHCA)/Screening and Treatment for Maternal Mental Health and Substance Use Disorders (MMHSUD)] program in [insert location]. We recently emailed you about the HRSA MCHB evaluation of the MCHB PMHCA program that is being conducted by JBS International, Inc. (JBS).


About the Survey

As part of the HRSA MCHB evaluation, JBS is conducting a survey to learn more about the implementation of [insert location]’s HRSA [PMHCA/MMHSUD] program. The survey is designed to collect information on your experiences with the [PMHCA/MMHSUD] program (e.g., program implementation activities, health professional enrollment, health professional training, behavioral health service delivery, care coordination support, community linkages, sustainability). Your participation in this survey is important to the HRSA MCHB evaluation.


Directions

Here are the directions for completing the survey:

  1. Click “Begin Survey” below to complete the Program Implementation Survey.

    1. Please complete the survey by [insert date].

    2. The survey will take you about 20 minutes to complete.

    3. You will have the option to save your progress at any point and return to the survey later.

  1. As you complete the survey, please click “Next” at the bottom of each page to save your progress.

  2. When finished, click "Done" at the bottom of the final page to record your responses.

  3. 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 hrsa-mchbfeedback@jbsinternational.com.


Kind regards,


The HRSA MCHB Evaluation Team



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAttachment B5
AuthorLaura Quicquaro
File Modified0000-00-00
File Created2025-06-03

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