Patient Survey

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May we contact you about this experience? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Would you be willing to share your story with:

Nurses at the University {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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The University of Michigan Board of Regents and administrators {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Reporters and the news media {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Patient Survey

Patient Survey

How did U of M nurses contribute to your treatment? Were you affected by staffing conditions, excessive wait times, or have difficulty accessing care? Please share your story here: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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May we contact you about this experience? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Would you be willing to share your story with:

Nurses at the University {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
The University of Michigan Board of Regents and administrators {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Reporters and the news media {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Cell Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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