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Brief survey
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* Indicates required question
Three-digit code given to you by Chrissy
*
If you don't remember your code, text/call Chrissy at (724) 594-3245 or email at
chrissyrlt@hotmail.com
Your answer
How often did you spend time with the people at Connecting Champions? (Jen, Coy, mentors, volunteers)
About once a week
About once every other week
About once a month
Less than once a month
Clear selection
Where did they usually visit?
(check all that apply)
In clinic
Inpatient
Out of the hospital
Are any of the following true about Connecting Champions?
(check all that apply)
They made the hospital less stressful for my child
They made the hospital less stressful for me
None of these are true
N/A
Other:
Did Connecting Champions make your child less hesitant or scared to come to the hospital?
Yes
No
Unsure
N/A
Clear selection
Does Connecting Champions make Children's Hospital of Pittsburgh a better hospital?
Yes
No
Unsure
Clear selection
If so, in what way(s)?
(reminder: this is optional)
Your answer
Comments (anonymous)
(reminder: this is optional)
Your answer
Is it okay if we share your quote anonymously?
(This survey is anonymous and we your name isn't visible to us, so you would be quoted as "Anonymous.")
Yes
No
Clear selection
Would it be okay to send you another short survey in the future?
Yes
No
Clear selection
Submit
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