Vermillion-Parke Community Health Center Mobile School-Based Health Center Parent Survey Question Title This survey is being used to gather information about the Mobile School-Based Health Center that visits your child's school on assigned days. Services are provided by the Vermillion-Parke Community Health Center. We would like your feedback. The information will be used to improve and grow services offered on the mobile health center. Your answers will be kept private. They will be used to lead the planning efforts for the future of the mobile health center. We thank you for your time. Please put your name and phone number or email address at the end of this survey if you would like to be entered in a drawing to win a prize! Question Title 1. What school does your child(ren) attend? (check all that apply) Rockville Elementary Turkey Run Elementary Central Elementary Van Duyn South Vermillion Middle School North Vermillion Middle School Riverton Parke Jr/Sr Rockville Jr/Sr Turkey Run High School Ernie Pyle South Vermillion High School North Vermillion Elementary Montezuma Elementary Rosedale Elementary Question Title 2. My child(ren)'s health insurance is: (check all that apply) Private health insurance (from your or your spouse's employer) Hoosier Healthwise Traditional Medicaid Not covered Other (please specify) Question Title 3. Is your child(ren) enrolled in the mobile health center? Yes No Next
