Form 1 Survey of Refugee Health Coordinators

Survey of Refugee Health Coordinators

1. Would you be interested in participating in a peer-to-peer sharing series with other Refugee Health Coordinators?

   1. Yes or No

2. What topics would you most like to hear about from your RHC colleagues?

   1. Refugee Medical Screening

   2. Refugee Medical Assistance

   3. Health Education and Orientation Techniques

   4. Refugee Health Data Collection and Analysis

   5. Monitoring Techniques

   6. Community Partnerships

   7. Other w/ comment box

3. How likely are you to present your program/s in this series?

   1. Likely

   2. Not Likely

   3. Not Sure

4. How often should these sessions take place?

   1. Every other month

   2. Once per quarter

   3. Once per trimester

   4. Other w/ comment box

5. Any other topics you’d like to hear about from other RHCs?

   1. Comment box

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

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