neuroHealth Program Survey for BB

neuroHealth Program Survey for Breaking Barriers' Participants

We are surveying Breaking Barriers' participants to discover potential needs for additional and ongoing coordination of care. Our survey focuses on the need for a Whole-Person Assessment.
A Whole-Person Assessment is a comprehensive evaluation of all aspects of an individual's life. This includes medical, mental health, social, economic, religion, and many other factors. The purpose being to create a plan of support that meets most if not all (within the scope of the available resources) of the individual's person centered wants and needs.
Your Full Name

First NameLast Name
Your Phone Number
Please enter a valid phone number.
Is there an interest in having a Whole-Person Assessment completed for you for free through the Regional Center?

YesNo
Would a Whole-Person Assessment benefit you?

YesNo
Would you recommend a Whole-Person Assessment to others?

YesNo
Would you like more information on what a Whole-Person Assessment is and what the benefits of the assessment would be?

YesNo
Do you feel there is a need for additional and ongoing support?

YesNo
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neuroHealth Program Survey for Breaking Barriers' Participants