HVIP Participant Feedback Survey

include the individual's initials and the full date of the incident. E.g. CB-03062024

Rate your Experience with COMPASS

What was the experience like having someone from the HVIP support you in the hospital immediately after being injured? Please share your level of agreement with the following statements.
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Strongly disagreeDisagreeNeutralAgreeStrongly agree
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
Very DissatisfiedDissatisfiedNeutralSatisfiedVery Satisfied
What services were you offered?(Required)
What services did you receive?(Required)
Not ImportantSlightly ImportantModerately ImportantImportantVery Important