A stipulation of our grants is we are to provide evidence every quarter that our groups improve the quality of life for brain injury survivors. We have identified that utilizing self-reported quality-of-life surveys is the ideal mechanism to capture the required evidence. Only brain injury survivors should participate in this wellness survey. Much of this survey was extracted from the QOLBRI survey which can be found here. To conduct this survey, we are using EmailMeForm (EMF) due to their HIPAA compliance. They tally and report the survey results. The quarterly results will be available on our website.
By completing this anonymous form, you are supporting Kitsap Brain Injury. To show our appreciation for completing the quarterly survey, we will send you a gift.
This quarter's gift is a 20 oz. coffee mug with artwork by Diana Doodles.
To receive the gift, you must input your email address before submitting the form. Once we receive a notification of form completion, we will email you to verify your shipping address.
Note: this online survey was intended for use with desktops or laptops only.
If you need the survey in a different format. Contact us
EMF Contact Form