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Stop the Bleed Pre Assessment
1.
I feel confident that I can recognize a life-threatening bleeding
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
2.
I know the steps to take to control severe bleeding in an emergency.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
3.
I am comfortable using a tourniquet if necessary.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
4.
I understand when it is appropriate to apply direct pressure.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
5.
I could effectively assist someone who is bleeding until professional help arrives.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
6.
I have prior training or education in bleeding control techniques.
Professional education (EMS, Nurse, or Doctor)
I have some formal education (CPR, AED, Stop the Bleed)
Disagree
7.
I believe that anyone, regardless of medical background, can help save a life by stopping the bleed.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree