DONOR FAMILY AFTERCARE 6 MONTH SURVEY

Midwest Transplant Network (MTN) kindly requests your feedback. Please let us know how we did while facilitating your loved one’s donation.

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* 1. MTN staff actively listened, communicated clearly, and fostered sensitive & supportive interactions.

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* 2. MTN staff demonstrated their dedication to saving lives through passion, positivity, and willingness to help.

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* 3. MTN staff consistently modeled high ethical standards through their honesty, integrity, and by honoring commitments.

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* 4. MTN staff made me feel comfortable and confident by showing a high level of professionalism, respect and trust.

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* 5. Was there anything specific that was helpful to you in making or supporting the decision for donation?

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* 6. Since my loved one's donation, MTN provides the level of support and information that fulfills my needs and expectations.

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* 7. In the future, I would support donation for myself, family and friends.

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* 8. Please share with us any suggestions you may have to help us improve the way we support and communicate with families.

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* 9. Personal Information (optional):

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* 10. I am the donor's:

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* 11. Has your address changed recently?  If so, please provide an updated address.  New address (optional):

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