Board of Directors
Brain Injury Awareness Month
MAKE A GIFT
Consent Form - Aimee
Consent Form - Bethany
Consent Form - Briana
Consent Form - Cindy
Consent Form - Jenn
Consent Form - Marilyn
Consent Form - Pat
HIPAA Release - Aimee
HIPAA Release - Bethany
HIPAA Release - Briana
HIPAA Release - Cindy
HIPAA Release - Jenn
HIPAA Release - Marilyn
HIPAA Release - Pat
Bright Ideas Camp Evaluation
USA Bright Ideas Camp Evaluation
Bright Ideas TBI Camp Evaluation
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Thank you for taking part in our 2022 Samford Bright Ideas TBI Camp! We hope the experience was a positive one for clients and caregivers alike. To help us evaluate the program and identify ways we can improve, we hope you will take a brief moment to complete this evaluation. Your responses will be confidential. Thank you!
The information presented was relevant and something I can apply in my own life or in that of my loved one (Select One Option Please)
Neither Agree nor Disagree
Please choose the response that best reflects your reaction to the statement
I felt respected and valued as an individual by all the individuals I interacted with throughout the camp (Select One Option Please)
Neither Agree Nor Disagree
What was your favorite part of the Samford Bright Ideas TBI Camp?
Is there something about the Samford Bright Ideas TBI Camp that you did not enjoy?
What is something you would suggest to make the Samford Bright Ideas TBI Camp better in future years?
If you are willing, please share a quote about your experience with the Samford Bright Ideas TBI Camp
Thank you for taking time to help us continue and improve this experience! Please click SUBMIT below to complete the evaluation.
500 Chase Park South Suite 130 Hoover, AL 35244
Phone: (205) 823-3818 or 1-800-433-8002
Fax: (205) 823-4544
Improving the quality of life for survivors of traumatic brain injury and for their families