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PA Organ and Tissue Donation Counseling Survey
What prevented you from utilizing grief counseling services through the PA Organ and Tissue Donation Counseling Program? (Check all that apply)
(Required)
I didn’t think any of the counselors were a good fit for me
The counselor I was referred to did not have times/dates that worked for my schedule
I did not hear back from the counselors with availability
I decided to wait to begin counseling
I received grief counseling elsewhere
Unsure
Other - please comment:
Other reason
Is there anything you would like to share with Gift of Life/CORE/Department of Health about your experience with the Grief Counseling Program?
Would you like someone from Gift of Life/CORE/Department of Health to follow up with you with additional counselor referrals or information regarding your loved one’s donation?
(Required)
Yes
No
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This field is for validation purposes and should be left unchanged.