Fall Prevention Survey

Survey Questions

Thank you for taking the time to complete our brief survey. Questions marked with an asterisk are required.

Any information you provide will be used in accordance with our Privacy Notice.

Name (First, Last): *This question is required.

Name of facility you work in: *This question is required.

Role (nurse, aide, NP, etc.): *This question is required.

1. I will incorporate fall prevention strategies learned during this presentation into my daily work. *This question is required.

2. What concepts from this presentation do you intend to apply to your daily work? *This question is required.

Please explain any barriers to incorporating fall prevention strategies. *This question is required.

3. What other topics would you like to learn more about?