This survey is intended to learn whether the TakeCHARGE Campaign assisted you in becoming a better-prepared patient. TakeCHARGE: 5 Steps to Safer Health Care is a year-long program that encourages people to perform 5 Steps to becoming well-prepared patients. TakeCHARGE began as a campaign in March 2020 and each month following, one of the 5 Steps was used to motivate the public to take one of these simple steps that contribute to a clear patient-provider relationship and help ensure safer care.  If you have questions about this survey, contact Pulse Center for Patient Safety at (516)579-4711.

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* 1. How did you receive this survey?

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* 2. Before this survey, did you know about TakeCHARGE? (Choose one.)

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* 3. Did you see a presentation or any material related to TakeCHARGE? (Check all that apply.)

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* 4. Did you see a presentation or any material related to TakeCHARGE? (Check all that apply.)

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* 5. I followed TakeCHARGE on these social media (check all that apply):

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* 6. I heard or saw information on individual Steps (check all that apply):

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* 7. Because of TakeCHARGE: (check all that apply):

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* 8. Did you share TakeCHARGE with someone else? (Check all that apply):

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* 9. Age

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* 10. Zip Code

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* 11.

Please write in any other feedback you have about the TakeCHARGE Campaign:

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