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AEDD Home > Survey Research > Survey for Direct Service Providers | Contact | |||||
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SURVEY
FOR DIRECT SERVICE PROVIDERS
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I. EXPERIENCE WITH THE HEALTH CARE SYSTEM Please circle a letter for each question and fill in the blank if appropriate. |
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Do the self-advocates in your program live primarily in an area that is:
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How many of the self-advocates in your program have a primary care physician?
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How many of the self-advocates in your program received routine medical exam in the past 12 months?
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How many of the self-advocates in your program required urgent care at least once in the past 12 months?
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What kind of physician do most of the self-advocates in your program usually see?
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Check all types of health care professional that self-advocates in your program have seen in the past 12 months.
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How comfortable are you with the self-advocates' physicians or other health care providers during an appointment?
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How satisfied are you generally with the health care the self-advocates in your program receive?
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II. BARRIERS TO RECEIVING GOOD HEALTH CARE SERVICES Please consider each
of the potential barriers to health care and rate them from 1 to 5. "1"
is a |
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III. Please list any suggestions you have that might make it easier to provide medical care for adults with developmental disabilities. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ |
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Is there anything else we ought to know about providing medical care for this population? ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ |
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Thanks
for your time.
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Updated 07/22/02
AEDD at University of Washington
Box 357920, Seattle, WA 98195-7920
Copyright © 2002 by University of Washington. Permission is granted to copy all materials written by the University of Washington for educational, noncommercial purposes provided the source is acknowledged. See Copyright Statement for more information