Please complete the following survey to evaluate impact and to help us improve this training.

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* 1. Please enter the date that you took this Stop the Bleed (STB) Course:

Date
Time

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* 2.  Location of this STB Course:

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* 3.  What county is your school located in (in Michigan)?

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* 4.  Prior to this STB training, had you previously completed a course that emphasized bleeding control emergency treatment?

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* 5.  How helpful was this STB training to you?

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* 6.  How likely are you to recommend STB training to others (e.g., family, colleagues, schools, community members, etc.)?

Will not recommend Neutral Extremely likely to recommend
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i We adjusted the number you entered based on the slider’s scale.

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* 7.  Have you registered (or are you going to soon) as a Stop the Bleed Instructor?

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* 8.  Are there emergency bleeding control (Stop the Bleed) treatment kits in your school?

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* 9.  Where are the emergency bleeding control (Stop the Bleed) treatment kits in your school located?  Check all that apply.

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* 10.  How do you plan to use or implement STB training in your work, school, or community?

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* 11. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

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* 12.  Have you ever been in or observed a situation where someone needed life-threatening bleeding control treatment?

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