NEW Patient Survey 2017

1. Outpatient Satisfaction Survey

8% 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.

* 1. Date of Discharge:

Approximately

MM /

DD /

YYYY

* 2. Are you the:

Patient

Caregiver

Parent

Spouse/Significant Other

Other (please specify)

* 3. Patient Name (OPTIONAL):

* 4. How did you learn about Kennedy Krieger Institute?

Internet

Primary Care Physician

Friend

Other (please specify)