1.Colorado Nurses Association is providing an opportunity for healthcare workers to provide feedback to the upcoming Colorado Legislative Committees without identifying yourself or your employer.
Does Colorado Nurses Association have your permission to share this testimony with Colorado Legislative Committee Hearings?

Yes

No

2.After reading Colorado House Bill 24- 1066 linked here, do you have any questions about the bill?

3.Have you experienced or witnessed an incident of workplace violence that would help the Colorado legislators understand the importance of this bill?

4.Are you able to share your organizations response to your incident of workplace violence?

5.Are there any other facts/stories you would like the legislators to know about how important this bill is for healthcare workers?

6.To assure your testimony is valid, we are asking for your email address to be held confidential from any person other than the Executive Director of Colorado Nurses Association, please.