Person with TBI Needs Assessment Survey
 

Instructions

 
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Thank you for taking the time to complete this survey of people with traumatic brain injuries (TBI). We are using this survey to find out what needs people with TBI have, so we can come up with a plan for meeting those needs with public and private resources.

It would help us the most if you answer all the questions, but all questions are optional. If you don't want to answer a question, just skip it.

We will keep your answers confidential.

If you are helping someone else complete this survey, please remember to give that person's information (e.g. age), not your own.

If you have any questions about this survey, please do not hesitate to contact Kate Kershaw at (800) 444-6443 or kkershaw@biaks.org.

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