Health Services - CHDP

CHDP Provider Satisfaction Survey

The purpose of our customer service satisfaction survey is to offer enrolled providers an opportunity to give feedback and suggestions to help us improve provider support offered by the Sacramento County Child Health and Disability Prevention (CHDP) Program.

1. Today's Date * +

2. What is your clinic type? *

3. What is your job title? *

4. How familiar are you with the CHDP program guidelines? (i.e., eligibility criteria, Health Assessment Guidelines (HAGs), Bright Futures periodicity schedule, FFS care coordination referrals, foster care medical contact form, site review/audit process). *

Not Familiar Very Familiar

5. Do you feel the frequency of communications from the CHDP Program either by phone, fax, mailed letters, emails, or in-person is: *

Not enough Too much

6. What is your preferred method(s) of communication with the local CHDP program? *

7. Have you ever attended one of our CHDP trainings? *

Yes

No

8. Do you have any suggestions to improve our trainings?

9. Do you have any suggestions for training topics? *

10. Do you find the CHDP Newsletter helpful? *

I have not Not helpful Very helpful

read it

11. What prohibits you from screening/testing your pediatric patients for lead poisoning? Click all that apply. *

12. Is your clinic interested in receiving bulk quantity of health education materials for clients on topics such as lead poisoning prevention, tobacco cessation, STDs, healthy eating, etc.?

Yes

No

13. How likely would you recommend other Medi-Cal providers to enroll as a CHDP provider? *

Not likely Very likely

14. How would you rate the CHDP site review/audit process? *

Never participated Not beneficial Very constructive

in CHDP site review

15. How else can the CHDP program better support you? Please include your name and email so we can follow-up with your request.