Questionnaires In The Hospital

Limit Your Answers

Most Important – Only answer what you want to answer.

Why Limit? – These forms often have very little to do with your specific treatment. The data is often used for research, profiling, government reporting and predictive analytics without your consent.

Choose – Use your best judgment as to what information, if any, you want to share.

Examples – The following are a few examples of questionnaires CCHF has received from patients, including one with patient responses we have chosen to show, as an example of what you can do.

You can send your questionnaires to usUnaltered forms are preferred, however, if the form is completed we will redact all personal information.

September 13, 2023

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