Please respond as accurately and as honestly as possible. Your reponses are anonymous.
Please read each question carefully. There are no "right" or "wrong"
answers - choose what you think is the closest to the truth. This survey will be conducted until June 30, 2011.
1. Take the Nevada Survey for Community Health 2010-2011 online.
After completing the survey, please click on the "Submit" button at the end of the form to submit
your survey responses to the coalition staff.
After downloading, printing and completing the survey, you may return it to the Frontier Community
Coalition office in your county, or submit it by fax to: 775.273.2402, or submit it by mail to: Frontier Community Coalition,
P.O. Box 1460, Lovelock, NV 89419.
Please let us know if you have any comments or questions about the survey or the results.
Thank you for participating!
Community Health Office Patient Satisfaction Survey
Your local Community Health Office would like to know how you feel about the services they provide so they
can make sure they are meeting your needs. Your responses are directly responsible for improving these
services. All responses will be kept confidential and anonymous.
Take the survey at www.surveymonkey.com/s/WQSB9HL
Thank you for your time.
Welcome to the Stop Alcohol Abuse
Quick Quiz! Use this widget to test your knowledge of underage alcohol use and its impact on youth. See how many
questions you get correct. Compare your performance with the results of other quiz takers.
Share with others by adding this widget
to your Web site. There’s no cost, and SAMHSA automatically updates the content. They post new questions relating
to underage drinking and its prevention on a bi-weekly basis.
Thanks for being interested in this national effort to help youth make smart choices about
underage alcohol use.
This publication was supported in whole or in part by the Nevada Division of Mental Health and
Developmental Services (MHDS), Substance Abuse Prevention and Treatment Agency (SAPTA) through State
General Funds and/or the SAPT Block Grant for the Substance Abuse and Mental Health Services Administration
(SAMHSA). Its contents are solely the responsibility of the authors and do not necessarily represent the official
views of the U.S. DHHS, SAMHSA, or the State of Nevada.
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