Safe-Ty for Healthcare

Safe-Ty for Healthcare
Name *

First Name Last Name
Email *
example@example.com
Campus Name *
Scenario Details
What happened? Provide details of the situation (without providing specific names or other Protected Health Information(PHI)) *
Before having a CrisisAlert badge, what would you have done in a situation like this? *

How easy was it to use your CrisisAlert badge? *

	1	2	3	4	5

1 is Difficult, 5 is Very Easy

To what extent does having CrisisAlert help you to feel safer and supported as a staff member? *

	1	2	3	4	5

1 is No Change, 5 is Much Safer/Supported

How likely are you to recommend using CrisisAlert to other staff members? *

	1	2	3	4	5	6	7	8	9	10

1 is Not Likely, 10 is Very Likely

Scenario Details