NPR Nursing Injury Survey
NPR reporter Daniel Zwerdling and colleagues are researching on-the-job injuries that affect nurses, CNA’s and other staff at hospitals and nursing homes. If you have suffered a back, neck, shoulder or other injury that interferes with your work – and even your daily life – will you please contact us through this survey? Or if you know someone who has suffered such an injury will you please pass this on? Your responses are confidential. We won't use anyone's name without their permission. Thanks!
Your Name
Your answer
Your E-Mail Address
Your answer
Your City
Your answer
Your State
Your answer
What kind of injury did you have?
Choose
Back
Neck
Shoulder
Other
In a few words, please tell us what happened.
Your answer
What was your job at the time of the injury?
Choose
Floor nurse, hospital
Nursing assistant, hospital
Floor nurse, nursing home
Nursing assistant, nursing home
Nursing administrator
Your employer at the time of the injury?
Your answer
How long did the injury keep you out of work?
Choose
1-3 days
4-6 days
7 days or more
Could your injury have been prevented? Tell us what might have helped.
Your answer
Does this injury continue to affect your life?
Yes
No
Clear selection
Can an NPR reporter call you? We will keep your name confidential.
Yes
No
Clear selection
If yes, what's the best phone number to reach you?
Your answer
What's the best time to contact you?
During the day, 9 AM - 5 PM local time
In the evening, 6 PM - 9 PM local time
Clear selection
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