Exit this survey Ad Hoc Student Resources Comm. Survey This survey has been designed for a five minute response. The Committee appreciates your taking time to complete it, since it will produce data that is not otherwise available. The survey is anonymous,and no identification of a school or a person is needed or desired. Question Title * 1. Location by County Berkshire Hampshire Hampden Franklin Worcester Middlesex Essex Suffolk Norfolk Plymouth Bristol Barnstable Dukes Nantucket Question Title * 2. Aside from 911, do you have any medical or mental health contacts available to you directly? Yes No Medical Medical Yes Medical No Mental Health Mental Health Yes Mental Health No Question Title * 3. Does your school screen for eye problems as a matter of routine? Yes No Question Title * 4. Does your school screen for hearing as a matter of routine? Yes No Question Title * 5. Do you have a personal contact in either of the areas above? Yes No Eye Problems Eye Problems Yes Eye Problems No Hearing Hearing Yes Hearing No Question Title * 6. Does your school screen for proper nutrition problems as a matter of routine? Yes No Question Title * 7. Could your school benefit from the services of New England Eye for screening, eyeglasses or referrals for vision problems? Click here for New England Eye's mobile eye program information. Yes No Question Title * 8. Would you be interested in having a school based health center in your district of building? Yes No Question Title * 9. Do you have a Registered Nurse in your building? Yes No Question Title * 10. Do you share one? Yes No Question Title * 11. Do you have a school physician? Yes No Question Title * 12. Is any kind of reduced price dental screening available to your students? Yes No Question Title * 13. Do you have a direct personal contact with DCFS Staff? Yes No Question Title * 14. Do you get briefing from the local parole officers and probation personnel? Yes No Question Title * 15. Any comments you wish to share? Thank you for completing the survey. Done