Patient/Family Engagement Survey

Are you interested in getting involved in our work?

The Center for Harm Response continues to develop its programs and services. Engaging with patients and families is at the core of our work. Please consider completing this brief survey to help us understand what sorts of programs or services you’d like to see us develop, and the ways in which you would like to get involved.

Have you or a loved one experienced harm from healthcare?

Yes

Unsure

How did you find our website?

Please specify

What motivated you to visit our website today?

I or a loved one experienced harm from healthcare

I was looking for information or resources after a healthcare harm

I wanted to understand how healthcare organizations should respond after harm

I was seeking support, guidance, or validation

I was curious about the Center’s mission or programs

I am interested in sharing my experience to help improve care

I am interested in research, advocacy, or system-level change

Someone suggested I look at the Center’s work

Other (please specify)

Please specify

What is something you wish the Center for Harm Response did or had?

If you are interested in being involved in the Center’s work, how would you prefer to engage?

Completing occasional surveys

Reviewing materials (letters, guides, videos) and giving feedback

Sharing experiences to help improve care (written or recorded)

Advising on program or resource development

Speaking with clinicians or healthcare leaders (if comfortable)

Participating in research

Advocacy or public-facing work

I’m not sure yet

I do not want to be directly involved

How much involvement would feel right for you?

One-time input

Occasional involvement (a few times a year)

Ongoing involvement

Not interested at this time

If you would like us to get in touch with you please share your information below.

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Take Our Survey

Are you interested in getting involved in our work?