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START HERE SURVEY
Thank you for taking this important survey so we can know how to serve you better.
1.
The START HERE program made you feel more confident and empowered to speak up when you have questions.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
2.
The program gave you knowledge and confidence to play a more active role in treatment decisions.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
3.
Have you or your loved one asked your doctor or healthcare team member a question as a result of this program?
Yes
No
4.
How did the START HERE 90 day plan help you?
A great deal
A lot
A moderate amount
A little
None at all
5.
Do you have any other feedback you'd like to share with us?
