TakeCHARGE 5 Steps to Safer Health Care

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.
1.How did you receive this survey?
2.Before this survey, did you know about TakeCHARGE? (Choose one.)
3.Did you see a presentation or any material related to TakeCHARGE? (Check all that apply.)
4.Did you see a presentation or any material related to TakeCHARGE? (Check all that apply.)
5.I followed TakeCHARGE on these social media (check all that apply):
6.I heard or saw information on individual Steps (check all that apply):
7.Because of TakeCHARGE: (check all that apply):
8.Did you share TakeCHARGE with someone else? (Check all that apply):
9.Age
10.Zip Code
11.

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