SDOH Carrying Capacity Survey Template

SDOH Carrying Capacity Survey Template

This document lists the PARTNER CPRM “Service Provider Network” survey template. It was originally created for a network focused on the social determinants of health and community carrying capacity, but can be adapted for similar use cases. You can use this document as a template to review questions and make edits, before working on the online version of the survey. The wording here is suggested wording based on past surveys that the PARTNER team has developed on a variety of projects. We encourage you to modify it for your own community/cultural contexts.

This Template is only for use with PARTNER CPRM 

NOTE: This survey is ONLY approved for use within the PARTNER CPRM platform. It is not available for use in other platforms or survey tools. If you are interested in adopting or licensing the use of this survey instrument, please contact us at hello@visiblenetworklabs.com

How should you use this survey template?

The entire survey is modifiable, although in some limited ways. You can use this template (in Word) to draft up your own language and customize question changes. If you follow the structure of this template, you will be able to fit changes into the a survey in your ecosystem.

Download the survey template below

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