Dispelling the Myths
Donation for Research
Donor Family Support
Navigating Your Grief
CORE Remembrance Quilt
A Special Place Ceremony
Brian A. Broznick Bereavement Center & Garden
The Waiting List
Writing to Donor Families
Team Alleghenies Transplant
Stories of Heroes
Show Your Support
Request Educational Support
Resource Request Forms
Medical Examiners & Coroners
13 Month Bereavement Survey
13 Month Bereavement Survey
Loved one's name
What is your relationship to the donor? I am his/her:
Power of Attorney
Your loved one was a donor because (check all that apply)
He/she made the pledge for life by registering as a donor.
He/she had previously made their wishes known about donation.
Donation would allow your loved one's legacy to live on.
Donation aligns with your loved one's belief in helping others.
You know a transplant recipient or someone waiting for a life-saving transplant.
Donation would allow something positive to come out of your loved one's passing.
You had a positive interaction with the CORE representative that you spoke with.
You checked, "You had a positive interaction with the CORE representative that you spoke with," please specify the CORE representative below.
Throughout your grief journey, which of the following bereavement services provided, if applicable, did you find most meaningful (check all that apply)
Framed "My Final Gift" poem (sent to the funeral home for you)
Sympathy card containing butterfly remembrance pin
Initial letter about the outcome of donation
The update you requested on the recipients of your loved one's gifts
Follow up phone call from a Donor Family Services Coordinator
Packet of information including grief material, A Special Place ceremony and quilt square instructions
Correspondence or meeting a recipient of your loved one's donation
Holiday Grief Program
A Special Place
Becoming a CORE volunteer
Have you used any other groups or agencies for bereavement support or counseling services?
Are there any counseling services that you would recommend for other families?
Is there anything else that our Donor Family Services Department can do for you or are there any resources they can provide that may help you on your grief journey?
It can be meaningful for the public and healthcare professionals to hear your perspective on the donation process and the affect it had on your family. Would you be interested in sharing your story through our volunteer program?
Yes, I would be interested.
No, I am not interested at this time.
Are you currently in need of grief support/resources?
Would you like someone from our Donor Family Services team to reach out to you?
Would you like to request an update on the gifts that your loved one was able to give? If so, a member of our Donor Family Services team will reach out to you to provide this.
Overall, on a scale of 1 - 5, with 5 being highly satisfied and 1 being highly dissatisfied, how satisfied are you with the bereavement services provided since the loss of your loved one by our Donor Family Services team?
Please provide any suggestions or additional comments to improve our bereavement program.