2020 Government Affairs & Public Policy Survey Question Title * 1. Which of the following best describes your trauma center? (Please mark all that apply) ACS verified Level I ACS verified Level II ACS verified Level I Pediatric ACS verified Level II Pediatric ACS verified Level III ACS verified Level IV State/regional designated Level I State/regional designated Level II State/regional designated Level III State/regional designated Level IV Not currently verified or designated as a trauma center Other (please specify) Question Title * 2. Location City/Town State/Province ZIP/Postal Code Country Question Title * 3. Pick the top 3 public policy issues facing you right now from the list below: Legislation/Funding for trauma systems and trauma center reimbursement COVID-19 Gun violence Mental healthcare/substance abuse treatment EMS funding Racial disparities in healthcare Access to trauma care Liability protection for trauma providers and/or volunteers Equality / Employment Discrimination Protection for healthcare workers from workplace violence Disaster preparedness/MCI Public safety and Injury prevention initiatives/legislation Stop The Bleed / Bleeding Control Other (please specify) Question Title * 4. Have you participated in government affairs and public policy advocacy? (Check all that apply) Participated in government advocacy by attending lawmaker meeting Participated actively as committee member to state advisory council/committee Participated in local government/policy development Participated in legislation development Provided testimony/data for policymakers/stakeholders developing legislation Assisted in development of trauma coalition/network Assisted in development of position statement Attended Day on the Hill/lawmaker meeting at your facility/legislature Successfully advocated for a public policy change Hosted "Stop The Bleed" training for policymakers Attended legislative conferences Other (please specify) Question Title * 5. STN government affairs and public policy committee should offer the following resources to assist members in actively participating in the advocacy/development of trauma public policy: (check all that apply) Education for participants on how to contact legislators Information about current legislative initiatives/bills Create a network of experienced advocates/government affairs for member contact Provide information/education materials for members to use for advocacy visits with lawmakers Sponsor and schedule meetings and advocacy events Provide training opportunities for advocacy and legislative contact methods Other (please specify) Question Title * 6. Would you be interested in participating in the following: (check all that apply) Government affairs committee state level Government affairs committee at a national level Day on the hill advocacy event in Washington D.C. Training seminar for government affairs/advocacy Local legislative meeting/breakfast Coalition membership/development Position statement development Other (please specify) Question Title * 7. Would you be interested in participating in STN's public policy efforts? Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Done