RISE Survey

• Have you ever felt like you suffered emotional or physical harm during/after a medical event or patient/family interaction?
  Yes No
• Did you ever reach out to someone for help?
  Yes No
• How willing would you be to use resources that offered you such support or assistance?

  	0	1	2	3	4	5	6	7	8	9	10
  Not Willing												Absolutely Willing

  0 is Not Willing, 10 is Absolutely Willing
• Are you a
  Nurse Doctor Other clinical Non-clinical
• Submit
• Should be Empty: