Survey of Rural Trauma Hospital Needs - TETAF

Rural Trauma Hospital Questionnaire

Survey for Rural Trauma Facilities

TETAF appreciates your willingness to complete the survey below. This survey should only take a few moments to complete.

Name(Required)

First Last

Email(Required)

Full Name of Hospital(Required)

Level of Trauma Care(Required)

Level III

Level IV

Please list your facility's top 3 biggest needs. (Ex: Type of equipment, education, etc.)(Required)

Need #1

Need #2

Need #3