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CARRIE O'NEILL CONSULTING

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HorsePower Your Hospital Feedback Form

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Name *

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Organization *

Title or Role *

Which sections of the book were most helpful to you? (Please select all that apply) *

Part I: Shift Your Perspective with Horse Sense Part II: Know Your Team Part III: Preserve Your Team Part IV: Lead Like a Horse Part V: HorsePower Patient Experience Improvement

Which of the Following Supplemental Resources Might Be of Interest to You (please select all that apply) *

Implementation Tool Kits Networking with Hospitals Using the Book Webinars Discussing Book Concepts In-person Workshop/Presentation without Horses Leadership Workshop at a Farm with Horses Other (please explain below)

What actions have you already taken (or are you planning to take)? *

Comments, Ideas, and Feedback: *

There are many concepts in this book that lend themselves to community discussions and creative implementation. I am looking forward to gathering and sharing experiences so the entire healthcare community can continue to learn from each other.

May I contact you to learn more about your experiences? *

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HorsePower Your Hospital Book
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