Neurocritical Care Anonymous Feedback

Concerns? Ideas? Your feedback is highly valued and we are here to listen in a completely PROTECTED and ANONYMOUS manner! All comments are completely confidential, will remain confidential, and all parties submitting this form will be protected. When you hit submit, your anonymous feedback will go privately and directly to leadership.

 

Neurocritical Care Anonymous Feedback Form

This form is intended for feedback from all members of our team including: Students, Nurses, Technicians, Advanced Practice Providers, Pharmacists, and Neurology ICU Fellows

This is an anonymous reporting system. If necessary, please include any dates, locations, and names of individuals that you feel comfortable sharing.