PA Organ and Tissue Donation Counseling Survey
What type of counseling did you receive?(Required)
How easy was it to schedule your first appointment?(Required)
Why did you select the counselor?  Please select all that apply.(Required)
Did you continue counseling beyond the 8 sessions provided by the PA Organ and Tissue Donation Grief Counseling program?(Required)
If yes, how did you pay for the sessions?
If no, why did you not continue?
On a scale of 1-5, how satisfied were you with counseling services provided by your grief counselor?(Required)
Would you like someone from Gift of Life/CORE to follow up with you regarding your loved one’s donation?(Required)
This field is for validation purposes and should be left unchanged.

 

     

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