1. Section I

This section asks about your participation in the Service Matching Program.
The purpose of this survey is to determine your level of satisfaction with the Stakeholders Collaboration to Improve Student Health Service Matching Initiative and to gain an understanding of student health at your school. Through the Service Matching Initiative, the Stakeholders Collaboration matches schools with community health programs and services. Your responses will be kept confidential and will be used so we can improve our services to you.

This three-section questionnaire should take no more than 5 minutes to complete. Thanks in advance for your time and input!

Please choose your answers based on the program(s) and/or service(s) that were brought to your school through Stakeholders Service Matching.

Question Title

* 1. Please rate your level of satisfaction with the program(s) and/or service(s) that were brought into your school.

 
Arthritis Education
Asthma Management
Be Red Cross Ready
Body Walk-An Engaging Education Experience
Breakfast in the Classroom
Cancer in the Classroom
Chicago Partnership for Health Promotion
Chicago Runners
Child and Family Connections
Common Threads/Cooking Skills and World Cuisine
Community Disaster Education
CPR & First Aid Certification
Creating a Physically Active School Environment
Ease the Tease
Eat, Act, Think
E-Etiquette: Internet Safety
Epilepsy Classroom
Expanded Food and Nutrition Education Program
Family Caregiving
FAN for Youth
Fight Asthma Now (FAN) for Teens
First Aid for Little People
Fresh From the Farm
Gang Awareness
Getting Health Insurance and Care in IL
Grief, Loss, and the Transition Back to the Classroom Healthy Me
Healthy Snacks Workshop
Hip-Hop Yoga
Home Alone
In My Shoes
Kid Fire Stopper
Knee Injury Prevention Program
Leadership Development Through Sports
Let's Get Real
Managing Students with Seizures
Mayor Daley's Safe Routes Ambassadors
Mental Illness Training
Mission: Nutrition
Nutrition A3
Responsibility Counts
Ronald McDonald Care Mobile
Safe and Free-Safety Lessons
Safety for All: Addressing Anti-LGBTQ Bullying and Harassment
School Walk for Diabetes
Scrubby Bear
Seizure Training for School Personnel
Seizures and You: Take Charge of the Facts
Sexual Health Resources
Show some Respect
Speaker's Bureau
Stretch-n-Grow
Walk Across Illinois
Wellness Training and Professional Development
What's Behind Our Eyes
Work to Play Program
Yoga and Wellness for Students with Special Needs
Yoga Ed.
Youth Alternatives
Youth Tobacco Action Network

Question Title

* 2. Would you bring this program(s) and/or service(s) into your school again?

 
Arthritis Education
Asthma Management
Be Red Cross Ready
Body Walk-An Engaging Education Experience
Breakfast in the Classroom
Cancer in the Classroom
Chicago Partnership for Health Promotion
Chicago Runners
Child and Family Connections
Common Threads/Cooking Skills and World Cuisine
Community Disaster Education
CPR & First Aid Certification
Creating a Physically Active School Environment
Ease the Tease
Eat, Act, Think
E-Etiquette: Internet Safety
Epilepsy Classroom
Expanded Food and Nutrition Education Program
Family Caregiving
FAN for Youth
Fight Asthma Now (FAN) for Teens
First Aid for Little People
Fresh From the Farm
Gang Awareness
Getting Health Insurance and Care in IL
Grief, Loss, and the Transition Back to the Classroom Healthy Me
Healthy Snacks Workshop
Hip-Hop Yoga
Home Alone
In My Shoes
Kid Fire Stopper
Knee Injury Prevention Program
Leadership Development Through Sports
Let's Get Real
Managing Students with Seizures
Mayor Daley's Safe Routes Ambassadors
Mental Illness Training
Mission: Nutrition
Nutrition A3
Responsibility Counts
Ronald McDonald Care Mobile
Safe and Free-Safety Lessons
Safety for All: Addressing Anti-LGBTQ Bullying and Harassment
School Walk for Diabetes
Scrubby Bear
Seizure Training for School Personnel
Seizures and You: Take Charge of the Facts
Sexual Health Resources
Show some Respect
Speaker's Bureau
Stretch-n-Grow
Walk Across Illinois
Wellness Training and Professional Development
What's Behind Our Eyes
Work to Play Program
Yoga and Wellness for Students with Special Needs
Yoga Ed.
Youth Alternatives
Youth Tobacco Action Network

Question Title

* 3. Was the presenter prepared for his/her program?

 
Arthritis Education
Asthma Management
Be Red Cross Ready
Body Walk-An Engaging Education Experience
Breakfast in the Classroom
Cancer in the Classroom
Chicago Partnership for Health Promotion
Chicago Runners
Child and Family Connections
Common Threads/Cooking Skills and World Cuisine
Community Disaster Education
CPR & First Aid Certification
Creating a Physically Active School Environment
Ease the Tease
Eat, Act, Think
E-Etiquette: Internet Safety
Epilepsy Classroom
Expanded Food and Nutrition Education Program
Family Caregiving
FAN for Youth
Fight Asthma Now (FAN) for Teens
First Aid for Little People
Fresh From the Farm
Gang Awareness
Getting Health Insurance and Care in IL
Grief, Loss, and the Transition Back to the Classroom Healthy Me
Healthy Snacks Workshop
Hip-Hop Yoga
Home Alone
In My Shoes
Kid Fire Stopper
Knee Injury Prevention Program
Leadership Development Through Sports
Let's Get Real
Managing Students with Seizures
Mayor Daley's Safe Routes Ambassadors
Mental Illness Training
Mission: Nutrition
Nutrition A3
Responsibility Counts
Ronald McDonald Care Mobile
Safe and Free-Safety Lessons
Safety for All: Addressing Anti-LGBTQ Bullying and Harassment
School Walk for Diabetes
Scrubby Bear
Seizure Training for School Personnel
Seizures and You: Take Charge of the Facts
Sexual Health Resources
Show some Respect
Speaker's Bureau
Stretch-n-Grow
Walk Across Illinois
Wellness Training and Professional Development
What's Behind Our Eyes
Work to Play Program
Yoga and Wellness for Students with Special Needs
Yoga Ed.
Youth Alternatives
Youth Tobacco Action Network

Question Title

* 4. Was the presenter on time for his/her program?

 
Arthritis Education
Asthma Management
Be Red Cross Ready
Body Walk-An Engaging Education Experience
Breakfast in the Classroom
Cancer in the Classroom
Chicago Partnership for Health Promotion
Chicago Runners
Child and Family Connections
Common Threads/Cooking Skills and World Cuisine
Community Disaster Education
CPR & First Aid Certification
Creating a Physically Active School Environment
Ease the Tease
Eat, Act, Think
E-Etiquette: Internet Safety
Epilepsy Classroom
Expanded Food and Nutrition Education Program
Family Caregiving
FAN for Youth
Fight Asthma Now (FAN) for Teens
First Aid for Little People
Fresh From the Farm
Gang Awareness
Getting Health Insurance and Care in IL
Grief, Loss, and the Transition Back to the Classroom Healthy Me
Healthy Snacks Workshop
Hip-Hop Yoga
Home Alone
In My Shoes
Kid Fire Stopper
Knee Injury Prevention Program
Leadership Development Through Sports
Let's Get Real
Managing Students with Seizures
Mayor Daley's Safe Routes Ambassadors
Mental Illness Training
Mission: Nutrition
Nutrition A3
Responsibility Counts
Ronald McDonald Care Mobile
Safe and Free-Safety Lessons
Safety for All: Addressing Anti-LGBTQ Bullying and Harassment
School Walk for Diabetes
Scrubby Bear
Seizure Training for School Personnel
Seizures and You: Take Charge of the Facts
Sexual Health Resources
Show some Respect
Speaker's Bureau
Stretch-n-Grow
Walk Across Illinois
Wellness Training and Professional Development
What's Behind Our Eyes
Work to Play Program
Yoga and Wellness for Students with Special Needs
Yoga Ed.
Youth Alternatives
Youth Tobacco Action Network

Question Title

* 5. Would you invite the presenter back to your school?

 
Arthritis Education
Asthma Management
Be Red Cross Ready
Body Walk-An Engaging Education Experience
Breakfast in the Classroom
Cancer in the Classroom
Chicago Partnership for Health Promotion
Chicago Runners
Child and Family Connections
Common Threads/Cooking Skills and World Cuisine
Community Disaster Education
CPR & First Aid Certification
Creating a Physically Active School Environment
Ease the Tease
Eat, Act, Think
E-Etiquette: Internet Safety
Epilepsy Classroom
Expanded Food and Nutrition Education Program
Family Caregiving
FAN for Youth
Fight Asthma Now (FAN) for Teens
First Aid for Little People
Fresh From the Farm
Gang Awareness
Getting Health Insurance and Care in IL
Grief, Loss, and the Transition Back to the Classroom Healthy Me
Healthy Snacks Workshop
Hip-Hop Yoga
Home Alone
In My Shoes
Kid Fire Stopper
Knee Injury Prevention Program
Leadership Development Through Sports
Let's Get Real
Managing Students with Seizures
Mayor Daley's Safe Routes Ambassadors
Mental Illness Training
Mission: Nutrition
Nutrition A3
Responsibility Counts
Ronald McDonald Care Mobile
Safe and Free-Safety Lessons
Safety for All: Addressing Anti-LGBTQ Bullying and Harassment
School Walk for Diabetes
Scrubby Bear
Seizure Training for School Personnel
Seizures and You: Take Charge of the Facts
Sexual Health Resources
Show some Respect
Speaker's Bureau
Stretch-n-Grow
Walk Across Illinois
Wellness Training and Professional Development
What's Behind Our Eyes
Work to Play Program
Yoga and Wellness for Students with Special Needs
Yoga Ed.
Youth Alternatives
Youth Tobacco Action Network

Question Title

* 6. What health programs and/or services are you most in need of at your school for students, staff, and parents?

Question Title

* 7. Please rate your level of agreement with these statements about your involvement with Service Matching. Choose one answer for each statement.

  Agree Mostly Agree Mostly Disagree Disagree
Service Matching Programs met my needs.
I found it easy to implement and/or schedule Service Matching programs in my school.
I plan to use Service Matching services in the future.
I would recommend Service Matching to another school.
Service matching raised awareness on student health issues at my school.
Overall, participating in Service Matching programming was worthwhile experience for my school.

Question Title

* 8. What can we do to improve Service Matching in the future?

Question Title

* 9. How did you find out about Service Matching?

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