ICSCI Patient Survey

1. Outpatient Satisfaction Survey

20% of survey complete.

The International Center for Spinal Cord Injury (ICSCI) at Kennedy Krieger Institute is committed to providing the highest quality of care and rehabilitation. Your feedback is important to us. Please take a few minutes to comment on our services.

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* 1. Date of Discharge:

Approximately

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* 2. Are you the:

Patient

Caregiver

Parent

Spouse/Significant Other

Other (please specify)

Question Title

* 1. Date of Discharge:

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* 2. Are you the:

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* 3. Patient Name (OPTIONAL):