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Developmental Screening & Referral Toolkits Survey
Thank you for your interest in the Early Screening, Better Outcomes: Developmental Screening & Referral Toolkits! To help us learn from this effort, please fill out the following survey.
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1.
Which toolkit(s) did you download or are you interested in? (check all that apply)
(Required.)
Pediatric Medical Clinics
Family Serving Agencies (coming soon)
Family Resource Centers (coming soon)
2.
Where are you from?
Los Angeles County, California
California outside of Los Angeles County
Outside of California
3.
What type of organization do you work for?
Government
Nonprofit
For Profit
Philanthropic
Other:
4.
What system(s) does your agency belong to? (Check all that apply)
Child welfare
Early care and education
School district
Health
Mental health
Developmental disabilities (early intervention/Part C)
Parent/community advocate
Other:
5.
Are you part of Help Me Grow (HMG) in your region?
Yes – part of the Organizing Entity
Yes – otherwise part of HMG network in region
No
Not sure
N/A – my region does not have HMG
6.
Would you be interested in technical assistance or similar support to implement the toolkit(s)?
Yes
Maybe
No
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7.
Would you be interested in participating in a virtual focus group and/or survey once you have had the opportunity to test the toolkit(s)?
(Required.)
Yes
No
