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Trauma Management Feedback Form

Confidential Document


1. General Information

Date of Submission: ____________________
Name (Optional): ____________________
Position/Role: ____________________
Contact Information (Optional): ____________________


2. Feedback on Trauma Management

How would you rate the overall trauma management response?

What aspects of the trauma management process were handled well?



What areas need improvement?



Were you provided with adequate support and resources?

Additional Comments or Suggestions:




3. Follow-Up Request

Would you like to be contacted for further discussion or support?

If yes, preferred method of contact:


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