Social Determinants of Health Program Survey

Introduction

Thank you for participating in this research about how SDOH programs define and measure success.

This survey should take no more than 12 minutes to complete. If your organization runs more than one SDOH program, please pick one program and complete the survey based on that program.

Please feel free to complete more than one survey to provide insight on multiple programs.

This survey's report will not identify any individual respondents or their organizations.

Question Title

* 1. Please provide us some information for our demographic insights:

Your Name

Company

City/Town

State/Province

Question Title

* 2. What type of organization do you represent?

Health plan

Accountable care organization (ACO)

Community-based organization (CBO)

Provider (e.g., hospital, health system, community health center)

Other (please specify)

Question Title

* 1. Please provide us some information for our demographic insights:

Question Title

* 2. What type of organization do you represent?

Question Title

* 3. What is your job function? Or what department do you work in?