Thank you for completing the ISDH training module on how to setup the Indiana trauma registry to meet your facilities' needs. Completing this survey will verify that you have completed the training and to address any follow-up questions you may have.

* 1. Your Name:

* 2. The facility name that you are entering data for (please list all the facilities if you are entering for multiple hospitals):

* 3. Your email address:

* 4. Your phone number:

* 5. Was this training helpful?

* 6. Please provide any feedback on the training:

Thank you for taking the time to fill out this survey. Your feedback will be used to improve the training material for the trauma registry.