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

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