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Wellness and Safety Bulletin Survey
1.
The information in this bulletin was easy to understand:
Yes
No
Don’t know
2.
I found this bulletin to be useful:
Yes
No
Don’t know
3.
On a scale of 0 to 10,
How likely is it that you would recommend this bulletin to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
4.
I will use the information in this bulletin:
Yes
No
Don’t know
5.
Other information I wanted to be included in this bulletin: (check all that apply)
More background information about the relevance of the topic to me
More in-depth information about the topic
More tips about what to do
More links to resources
Nothing, the bulletin had everything
Other (please specify)
6.
Future topic(s) I would like covered in a Wellness and Safety Bulletin:
7.
Which of the following best describes you?
Self-Advocate (I receive regional center services)
Family Member
Direct Service Provider
Vendor
Regional Center Employee
DDS Employee
Other (please specify)