Exit this survey OneLegacy Post Referral Feedback POST REFERRAL FEEDBACK Thank you for taking the time to fill out this brief survey. All information provided in this survey will be kept confidential and will enable us to better serve our donor families and hospital partners. Please be sure to provide both a referral number and the name and contact information of an appropriate person for us to reach out to regarding your feedback. Question Title * 1. Referral Number: Question Title * 2. Hospital Name: Question Title * 3. How would you rate your experience with the initial referral call? Excellent Good Needs Improvement N/A Comment Question Title * 4. How would you rate your experience working with the OneLegacy Coordinator at your hospital? Excellent Good Needs Improvement N/A Comment Question Title * 5. Once in the hospital, OneLegacy staff acted in a professional manner and was respectful of the staff and facilities. Strongly Agree Agree Disagree N/A Comment Question Title * 6. How would you rate your experience with the OneLegacy Coordinator communicating on the status of the referral or case? Excellent Good Needs Improvement N/A Comment Question Title * 7. The Donation Process was explained to me in enough detail that I felt comfortable in my role. Excellent Good Needs Improvement N/A Comment Question Title * 8. The OneLegacy staff helped the hospital staff appropriately throughout the case. Strongly Agree Agree Disagree N/A Comment Question Title * 9. The OR Process was explained to me in enough detail that I felt comfortable in my role. Strongly Agree Agree Disagree N/A Comment Question Title * 10. How would you rate your overall experience with OneLegacy? Excellent Good Needs Improvement N/A Comment Question Title * 11. Please provide the name and contact information of an appropriate person for us to reach out to regarding your feedback. Done