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UPDATED DFAC 6 Month Survey

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. To show our appreciation for your feedback, your name (if you choose to provide it) will be entered into a random drawing for a complimentary Midwest Transplant Network t-shirt at the end of the month!
1.MTN staff actively listened, communicated clearly, and fostered sensitive & supportive interactions.
2.MTN staff demonstrated their dedication to saving lives through passion, positivity, and willingness to help.
3.MTN staff consistently modeled high ethical standards through their honesty, integrity, and by honoring commitments.
4.MTN staff made me feel comfortable and confident by showing a high level of professionalism, respect and trust.
5.Was there anything specific that was helpful to you in making or supporting the decision for donation?
6.Since my loved one's donation, MTN provides the level of support and information that fulfills my needs and expectations.
7.In the future, I would support donation for myself, family and friends.
8.Please share with us any suggestions you may have to help us improve the way we support and communicate with families.
9.Personal Information (optional):
10.I am the donor's:
11.Has your address changed recently?  If so, please provide an updated address.  New address (optional):