Every year, thousands of lives are saved as a result of the generosity of donors and families like yours. It has been a privilege for Alabama Organ Center to meet and work with your family since your loss. We are continually working to improve the care and support provided to families during and after donation. As a family that made the decision to help others through organ and tissue donation, it is important for us to understand your experience. We are asking for your assistance in evaluating your experience with Alabama Organ Center (AOC) by completing this questionnaire. Reflecting upon your experience may be difficult for you; we encourage you to complete the survey as you are comfortable.
Your loved one's name:

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* Your loved one's name:

Your name:

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* Your name:

Your address:

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* Your address:

Your email:

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* Your email:

Your phone:

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* Your phone:

Your relationship to your loved one?

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* Your relationship to your loved one?

Did you have an opportunity to attend the Donor Memorial Service?

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* Did you have an opportunity to attend the Donor Memorial Service?

If yes, was there something in particular that you found supportive? Any suggestions for improving the event?

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* If yes, was there something in particular that you found supportive? Any suggestions for improving the event?

Did you have an opportunity to attend the Celebration of Life Picnic?

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* Did you have an opportunity to attend the Celebration of Life Picnic?

If yes, was there something in particular you found supportive? Any suggestions for next year's event?

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* If yes, was there something in particular you found supportive? Any suggestions for next year's event?

Would you be willing to submit a story/poem/photo to our newsletter?

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* Would you be willing to submit a story/poem/photo to our newsletter?

If yes, best way to contact you:

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* If yes, best way to contact you:

Are you interested in volunteering with the AOC Ambassadors volunteer program?

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* Are you interested in volunteering with the AOC Ambassadors volunteer program?

If yes, best way to contact you:

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* If yes, best way to contact you:

The following aspects of AOC's After Care program have been helpful to me (Check all that apply):

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* The following aspects of AOC's After Care program have been helpful to me (Check all that apply):

Would you like to receive additional resources at this time? If so, what types of resources would be helpful?

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* Would you like to receive additional resources at this time? If so, what types of resources would be helpful?

Any additional comments regarding your donation experience with the AOC?

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* Any additional comments regarding your donation experience with the AOC?

Please feel free to contact Carrie Ellis, Donor Family Liaison at 800-252-3677 or cellis@alabamaorgancenter.org

On behalf of the families that will follow you on this journey, we thank you for your thoughts and suggestions.

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