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When completing this survey, please keep in mind the following descriptions:

Mental Health- counseling and social/emotional skills support provided on campus.

Physical Health- Health screenings and access to physical exams, medications, treatment of minor and major illness and management of acute health conditions.

Oral Health- preventive dental services such a screenings, cleanings, sealants, fluoride varnish, and care coordination provided on campus.

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* 1. Please select all school locations you serve.

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* 2. Please identify your role at the school(s).

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* 3. A school-based health center is a location on campus that provides mental and physical health related services; are you aware of the school-based health centers at your campus(es)?

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* 4. If your school has a school-based health center, have you made referrals to it?

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* 5. How well do you understand the referral pathways to on-campus health services for your students?

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* 6. Are you equipped with information about community based resources/services if a student needs additional off-campus supports?

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* 7. Do you feel there are enough on campus services to meet the health needs of the students, for each of the following?

  Yes No
Mental Health
Physical Health
Oral Health

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* 8. How satisfied are you with the quality of on campus services, for each of the following?

  Very satisfied Above Average Below average Not at all satisfied
Mental Health
Physical Health
Oral Health

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* 9. Health equity exists when all students can reach their full health potential and well being and are not disadvantaged by their race, ethnicity, language, disability, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances.

Health equity occurs when students can learn about, access, and benefit from health services that are provided in their own language and through a culturally competent manner.

Do you feel on-campus health services are offered in an equitable manner?

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* 10. What barriers at your school(s) prevent students from equitable access to health services? (Please be specific- for example, common barriers include the lack of bilingual/bicultural staff or the availability of specialized services.)

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* 11. How well do on-campus health services support parents/caregivers and families?

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* 12. How might parent/caregiver supports be improved? Select all that apply.

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* 13. Please rank the following health concerns in order of priority; with 1 being most pressing and 8 being least.

0 of 13 answered
 

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