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PPMD Family Satisfaction Survey
For the first few questions think about the information or support you received from PPMD, whether the concern with the school and/or your health team was resolved or not.
Please indicate how much you agree or disagree with each of the following statements:
Support received from
The information I received from PPMD met my needs.
Strongly Disagree
Disagree
Agree
Strongly Agree
I was able to understand the information I received from PPMD.
Strongly Disagree
Disagree
Agree
Strongly Agree
The information PPMD provided helped me learn more about how to meet my child's needs.
Strongly Disagree
Disagree
Agree
Strongly Agree
The information PPMD provided was useful.
Strongly Disagree
Disagree
Agree
Strongly Agree
I am prepared to use the information I received from PPMD in the last six months.
Strongly Disagree
Disagree
Agree
Strongly Agree
I feel comfortable in my ability to work with my child's school and/or health team.
Not Applicable
Strongly Disagree
Disagree
Agree
Strongly Agree
We are interested in your satisfaction with the information and/or support you received.
Would you recommend PPMD to your friends or family?
*
Yes
No
Please share the reason with us
Please share any comments about the information and/or support you received from PPMD
Please share any comments about how you were able to use the infomation you received from PPMD
Please share any additional comments about your experience in getting information from PPMD
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Case Id
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Contact Id
*
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Survey Id
*