Feedback Survey

Your perspective and participation are very important to us, the RI CDHH staff!

• RICDHH Information and Referral Service Customer Satisfaction Survey

• RICDHH Sign Language Interpreter Referral Service Customer Satisfaction Survey

 

Consumer Education Survey:

Please click one (1) of three (3) survey formats below.

• Consumer Education ONLINE Survey - TEXT ONLY.
• Consumer Education ONLINE Survey - ASL VERSION AND PICTURES ONLY.
• Consumer Education Survey- HARD COPY AND PRINTABLE.
  
  
  

About the Raffle, please click here for information.

 

Videos available below for Consumer Education Survey:

On behalf of the Rhode Island Commission on the Deaf and Hard of Hearing, the RICDHH Healthcare Task Force Committee is in the process of developing a Consumer Education Program within the Commission on the Deaf and Hard of Hearing. We would like for you to take this short survey* to help us with developing this program. This will be a free service to all consumers and will have communication access for all of the educational programs.

DEADLINE: February 28, 2011

 

Introduction (Question #1):

 

Are you: (Question #2 - Hearing Level):

 

Are you: (Question #3 - Gender):

 

Your Age is: (Question #4):

 

High Blood Pressure (Question #5):

 

High Cholesterol (Question #6):

 

Heart Disease (Question #7):

 

Chronic Pain Issues (Question #8):

 

Diabetes: Prevention and Management (Question #9):

 

Cancer Issues (Question #10):

 

Smoking Cessation Program (Question #11):

 

Healthcare Reform (Question #12):

 

HIV-AIDS: Adults (Question #13):

HIV-AIDS: Kids (Question #14):

 

Hepatitis B and C (Question #15):

 

Safe Sex Practices (Question #16):

 

IEP Strategies for Parents (Question #17):

 

Substance Abuse Issues (Question #18):

 

Mental Health Issues (Question #19):

 

Depression (Question #20):

 

Domestic Violence Prevention (Question #21):

 

Lead Poisoning Awareness (Question #22):

 

Healthy Food Planning and Nutrition (Question #23):

 

Consumer's Responsibilities: Communication Access(Question #24):

 

Consumers: How to Make their needs known for Communication Access(Question #25):

 

ADA/Communication Strategies for Hard of Hearing and Late Deafened Adults (Question #26):

 

Other Topics? (Question #27):

 

Other Ideas? (Question #28):

 

To Enter Raffles (Question #29):

 

Thank you (Question #30):

 

 

 

If you have questions, please contact us!