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HVIP Survey
Christopher Brechlin
2024-03-06T14:42:10-05:00
HVIP Participant Feedback Survey
COMPASS response identifier
(Required)
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.
I felt supported by the COMPASS Crisis Team.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I felt safe with the COMPASS Crisis Team.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
I felt comfortable sharing personal details with the COMPASS Crisis Team.
(Required)
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
How satisfied were you with the length of time between when you were discharged and when HVIP followed-up with you?
(Required)
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
How satisfied were you with your experience with the HVIP team at the hospital?
(Required)
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Were there any challenges with your HVIP experience? If so please explain below:
What are some of the areas we can address to improve the HVIP experience? Please explain below.
Did the HVIP service help your overall experience?
(Required)
Y/N
Yes
No
What services were you offered?
(Required)
Enrollment in Peacebuilders
Wound care
Clinical
Basic needs
All of the Above
None of the Above
What services did you receive?
(Required)
Enrollment in Peacebuilders
Wound care
Clinical
Basic needs
All of the Above
None of the Above
Which COMPASS team member did you work with?
(Required)
Larry Johnson
Janet Rice
Latisha Dixon
Multiple
How important do you believe the HVIP team was for your recovery?
(Required)
Not Important
Slightly Important
Moderately Important
Important
Very Important
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