School Resource Guide

Thank you for offering the Pulmonary Hypertension Association (PHA) your feedback on our School Resource Guide. This Guide is intended to help parents and teachers prepare for the school year with a child diagnosed with pulmonary hypertension (PH). Before completing this survey, please review the School Resource Guide at: https://www.PHAssociation.org/Document.doc?id=2025

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* 1. Grade that you teach:

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* 2. Are you a special needs teacher?

Yes

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* 3. If applicable, what specific subject(s) do you teach?

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* 4. Does the Guide share information in a way that is easy to understand?

Yes

Mostly

Not Very

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* 5. If not, how could it be improved?

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* 6. If yes, does anything in particular contribute to the Guide's ease of use?

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* 7. Do you feel that the Guide addresses ways that a child’s PH might impact their day-to-day school experience?

Yes

Mostly

Not Very

Please share any specific feedback you have regarding this:

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* 8. Does the Guide adequately address safety concerns you might have if you had a student with PH? (e.g., open flames, physical ability to participate in activities)

Yes

Mostly

Not Very

Please share any specific feedback you have regarding this:

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* 9. PH specialists recommend that children self-limit: doing the activities they feel physically able to. Do you feel that the Guide effectively conveys the concept of self-limiting and its application?

Yes

Mostly

Not Very

Please share any specific feedback you have regarding this:

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* 10. Based on the advice that children “self-limit,” how confident do you feel that you will recognize the signs if a child is overdoing it?

Very Likely

Likely

Somewhat Likely

Not Likely

Please share any specific feedback you have regarding this:

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* 11. Based on the advice that children “self-limit,” how likely are you to take action if you notice that a child may be overdoing it?

Very Likely

Somewhat Likely

Likely

Not Likely

Please share any specific feedback you have regarding this:

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* 12. Certain PH therapies must be infused without interruption, which means that any equipment malfunctions could be life-threatening within minutes. Do you feel that the Guide properly conveys the emergency nature of this situation and the steps to take in event of an equipment malfunction?

Yes

Mostly

Not Very

Please share any specific feedback you have regarding this:

School Resource Guide

Question Title

* 1. Grade that you teach:

Question Title

* 2. Are you a special needs teacher?

Question Title

* 3. If applicable, what specific subject(s) do you teach?

Question Title

* 4. Does the Guide share information in a way that is easy to understand?

Question Title

* 5. If not, how could it be improved?

Question Title

* 6. If yes, does anything in particular contribute to the Guide's ease of use?

Question Title

* 7. Do you feel that the Guide addresses ways that a child’s PH might impact their day-to-day school experience?

Question Title

* 8. Does the Guide adequately address safety concerns you might have if you had a student with PH? (e.g., open flames, physical ability to participate in activities)

Question Title

* 9. PH specialists recommend that children self-limit: doing the activities they feel physically able to. Do you feel that the Guide effectively conveys the concept of self-limiting and its application?

Question Title

* 10. Based on the advice that children “self-limit,” how confident do you feel that you will recognize the signs if a child is overdoing it?

Question Title

* 11. Based on the advice that children “self-limit,” how likely are you to take action if you notice that a child may be overdoing it?

Question Title

* 12. Certain PH therapies must be infused without interruption, which means that any equipment malfunctions could be life-threatening within minutes. Do you feel that the Guide properly conveys the emergency nature of this situation and the steps to take in event of an equipment malfunction?

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* 13. Based on the information in the Guide, how would you feel if you had a student with pulmonary hypertension?

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* 14. Do you have any additional feedback that may help us improve the Guide?

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* 15. Optional: Name

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* 16. Optional: Phone or email where we may contact you for follow-up questions