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Healthcare-Acquired Infections

Hospital-Acquired InfectionsHave you or a loved one contracted a health care infection when you went in for surgery or other illness? We’d like to hear your story, or any other comment you may have about your hospital experience.

(Your personal information will remain completely confidential unless you give us permission to use or share it below.)

Please answer the following questions to the best of your ability, with respect to either your own experience or the experience of your loved one who contracted a hospital-acquired infection. Questions marked with an "*" must be answered, while other questions are optional. Thanks for taking the time to do this. Your personal experience can really help us stop hospital infections in the future!

  1. In what kind of hospital facility did you or a family member get an

  2. (Maximum response 255 chars, approx. 5 rows of text)
  3. When did you find out that you or your loved one had acquired an
    infection in the hospital?*

  4. In which area of the hospital did you or your loved one get a
    hospital infection?*

  5. To the best of your knowledge, was your hospital-acquired
    infection resistant to certain kinds of antibiotic treatment?

  6. Your hospital-acquired infection resulted in? (you may check
    multiple answers)

  7. It took about how long for you or your loved one to fully recover
    from your hospital-acquired infection?*

    Not applicable because person died
  8. To the best of your knowledge, the infection started at your...

  9. When you or your loved one acquired the infection, the hospital
    staff and physicians...*

  10. Sharing your story helps Consumers Union of U.S., Inc. and Consumers Union Action Fund, Inc.[1] ("we" or "us") to learn more about what is happening to real people. We use this information to explain consumer problems to policymakers, the media, and the public. When you give us your story, you agree that we may use, share, and make public your story, using only your first name, city and state. We will not share or make public your last name, address, phone number, or email address unless we contact you and gain your permission to do so.

This is not a scientific survey.

[1] Consumers Union Action Fund, Inc. ("CU Action Fund") is a 501(c)(4) nonprofit consumer advocacy organization. CU Action Fund is affiliated with Consumers Union of United States, Inc. ("CU"), a 501(c)(3) nonprofit testing and information organization serving consumers. CU Action Fund's purpose is to educate the public regarding consumer rights and consumer safety issues and to advocate policies, legislation and regulation that ensure a fair and safe marketplace for consumers, among other advocacy activities. CU Action Fund engages in (1) nonpartisan voter education activity; (2) increased lobbying activity to pass legislation in states and in Congress; (3) work on consumer oriented ballot measures; and (4) to a greater extent than CU, in member education about elections. If you would like to learn more about CU Action Fund, visit