This is a survey about the School Based Health Center at your child's school. The School Based Health Center provides services in addition to those provided by the school nurse. It is a medical office (like your doctor's and dentist's offices) located in the school. It is not a replacement of your child's primary care provider.

Please answer the following questions. All of your answers are confidential. Thank you for your feedback. It will help improve the services we provide for your child.

* 1. My child has been seen by the School Based Health Center in school. (This is in addition to seeing the school nurse)

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