You have been selected to participate in the Provider Survey on Mental Health and Developmental Disabilities (i.e. a group of conditions that include intellectual disability, autism, epilepsy, cerebral palsy and conditions similar to intellectual disability).
Your views are very important to us. As part of this survey, the Department of Mental Health, Westside Regional Center, North Los Angeles County Regional Center would like the input of mental health providers about aspects of mental health care for people with developmental disabilities.
This survey is completely voluntary. You may skip any questions you want and may discontinue the survey at any time. All of your answers are confidential. Your responses will be combined with responses from other mental health providers in the area and your name will never be included in any reporting from this survey. Your responses will never be revealed to your supervisors or colleagues. Nothing that you answer in this survey will ever affect your employment.
I know how busy you are and how many requests for surveys must come across your desk but won’t you please take a few minutes to complete and return this survey?
If you have any questions about the survey, please call Erica Schuster at (310) 258-4204 or Jenna Jones at (310) 258-4068
Your participation in this survey is very much appreciated. It’s only with the generous help of providers that our research can be successful. Thank you in advance!
Alicia Bazzano, MD, PhD, Project Director Department of Clinical Services Westside Regional Center 310-258-4213 Email: email@example.com
Erica Schuster, Project Coordinator Department of Clinical Services Westside Regional Center 310-258-4204 Email: firstname.lastname@example.org