en Español

Title of publication (check one):
  Building a Partnership With Your Child’s Doctor
  Creating a Health Notebook for Your Child
  Getting the Assistive Technology Your Child Needs: How Your Primary Care Provider Can Help
  It Takes a Village
  Making the Change: From Children through Adolescence to Young Adults with Special Health Care Needs
  A Medical Home -- Not Just a Place

1. Having read the publication, which of the following best reflects your level of satisfaction? (Check one please).

  Highly Satisfied  Satisfied    Somewhat Satisfied  Not at all Satisfied   

2. Please tell us how satisfied you are with the:
Highly Satisfied 
Very Dissatisfied
  Information that was presented in the publication
  Usefulness of the information that was presented in the publication
  Knowledge and skills gained from the publication related to the health care needs of individuals with developmental disabilities
  Publication overall