Conversation Tool Data Collection: Asking Patients "What Matters to You?"

Thank you for participating in What Matters to You day!  Use this form to submit data that your team collects on the Ward/Department Summary Tool (Tool 1B) after having What Matters conversations.

Please note that, by submitting this form you are consenting to goShadow and/or WMTY.world partners analyzing, aggregating, publishing your team's data. In turn, you will receive a summary report of the impact that asking "What Matters to You?" had in your department or organization.

The more information that you provide, the more detailed your report will be. Please do not provide any patient identifiable information. Please provide an email address if you would like a report to be sent to you. This does not opt you in to receive other email communications.
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Email: Please provide an email address if you would like a report to be sent to you. This does not opt you in to receive other email communications.
Name of Hospital/Organization
Contact Name
Name of Ward/Unit/Department
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