EmailMe Form - 2024 Healthcare Volunteer Survey

Name *

First Last

Email

Did you volunteer as a healthcare professional in Washington State in 2024?

Yes

No

Approximately how many total hours did you volunteer as a healthcare professional in Washington State in 2024? *

Do you still need VRP Program malpractice insurance?

Yes

No

Where did you volunteer as a healthcare professional in 2024?

Did you volunteer at a second site in 2024?

How likely is it that you would volunteer without free malpractice insurance and/or free license renewals provided by the VRP Program?

How could the VRP Program support you better in your role? (Please check all that apply.)

Other:

Please add any additional comments you have about the VRP Program here, thank you!

If your email has changed, please add below.

If your address has changed, please add below.

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region