Target Stroke Survey

Directions: Please complete this Target:Stroke baseline survey by providing answers that best describe your hospital’s experience. The survey may be downloaded and printed to assist in completing the survey.  Click here to print the questionnaire.  You will need to scroll down to the end of the list of items under the Downloads heading. 

It is preferable if the GWTG-Stroke physician champion provides the answers to the survey with input from other hospital team members. If you have questions regarding the survey, please contact the AHA/ASA
allison.groom@heart.org.  For other questions about Target:Stroke, please contact mary.paulsen@heart.org.

If you are unable to complete the entire questionnaire in one sitting, you may save your answers and continue later. Click the "Save" button at the bottom of the screen you are in. You will be given a unique URL. You must save the URL by taking a screen shot or copying the URL for later use. You will not be able to continue the survey without the URL.

Click "Next" to continue.