Please tell us about yourself.

Thank you in advance for your participation! This survey should only take a few minutes of your time and contains a total of 12 questions.

In an effort to evaluate the impact of the Brain Injury Quick Guide, it is important that we receive input from those individuals that come in contact with the guide. As you share your copy with others, please suggest that they complete a survey as well.

If you should have any questions, or would like to request additional copies, please contact the Brain Injury Program Manager at the Iowa Department of Public Health at (515) 281-8465 or email

A downloadable version of the TBI Quick Guide (as well as archived webinars) can be found at

* 1. What is your role?

* 2. How did you obtain a copy of the Quick Guide?