IOL School Re-Entry Caregiver Survey

Thank you for reading the "Hospital to School Re-Entry" Brochure. We hope that you found it helpful! The purpose of the survey is to assess the helpfulness of the brochure. It should take you 5-10 minutes to complete the survey. You can skip any questions that you do not want to answer. 

This survey can be completed and emailed to Rosemarie Coratola, PsyD, LMFT whose contact information can be found below. It can also be faxed to (860) 545-7240 (Attention: Rosemarie Coratola). You can also mail it anonymously to the following address:

Rosemarie Coratola, PsyD, LMFT
Institute of Living
Donnelly Building – D1S
200 Retreat Ave
Hartford, CT 06106

All of your responses will be kept confidential. If you have any questions or additional feedback, please contact:

Rosemarie Coratola, Psy.D., LMFT
Telephone: (860) 545-7649
Email address: rosemarie.coratola@hhchealth.org

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* 1. As you transitioned your child back to school, was the “Psychiatric Hospitalization to School Re-Entry” brochure helpful?

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* 2. What is most helpful as you transition your child back to school after the hospitalization (you may pick more than one)?

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* 3. What additional information would be helpful as you transition your child back to school?

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* 4. Did you notify your child’s school of the hospitalization prior to discharge?

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* 5. Did you sign a release of information for clinical staff to be able to talk to your child’s school?

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* 6. Did the clinician contact your child’s school?

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* 7. Was the communication between the hospital staff and school helpful? 

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* 8. Child's school:

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* 9. Your relationship to child:

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* 10. Is this your child's first psychiatric hospitalization?

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