Family Education Survey

 

Please answer the following questions truthfully. Your answers will help ensure that the family education program continues to meet the needs of our patients and their families

Please do not include any self identifying information in this survey.

All survey forms should be completely anonymous to maintain the integrity of the survey.

Rating Scale

5: Very Helpful     4: Helpful     3: Not Helpful or Unhelpful     2: Unhelpful     1: Very Unhelpful

How would you rate this lecture?
How would you rate this lecture?
How would you rate this lecture?
How would you rate this lecture?
Please do not include any self identifying information e.g. your name, your loved ones name, email, phone, address
Please do not include any self identifying information e.g. your name, your loved ones name, email, phone, address
Please do not include any self identifying information e.g. your name, your loved ones name, email, phone, address
Yes, I would be happy to have Tully Hill use my comments about the Family Education Center as a testimonial on its website and social media venues on behalf of letting family members know about how the program has benefited me and to help encourage them to seek help.