Parent Survey Brockbank School Based Integrated Health Care

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1. Has your child/teen been to a doctor or nurse in the past year?

2. Are there things that make it hard for you to take your child/teen to the doctor or nurse? (Check all that apply)

3. When would you like your child/teen to be seen by a health care professional? (Check all that apply)

4. In your opinion, what are the health problems/issues that concern you and your child/teen?
(Check all that apply)

5. Does your child/teen get depressed or stressed out?

6. Would you or your child use a School Based Health Center if it was available to you?

7. Are you familiar with the services a School Based Health Center can provide?

8. If you or your child/teen would not use a School Based Health Center, what are your reasons?
(Check all that apply). •

9. If you would use the School Based Health Center, why would you use it? (Check all that apply)

10. What times would you be able to use a school based health center (check all that apply)

11. Are there any other services that you would like the School Based Health Center to provide?