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NICU Questionairre

This Christmas, the Quint Boenker Preemie Survival Foundation would like to give a gift of supplies or new technology to the nurses of the Texas Health Fort Worth NICU. We would like to provide you with items that you will use every day, rather than just a monetary donation.

Our gift will go directly to the needs of this NICU unit. Please take a moment to fill out the breif questionairre and tell us what you want for your unit.

All questionnaires are completely confidential and will be used solely by the Quint Boenker Preemie Survival Foundation. Any information obtained from these questionnaires will not be shared with any other foundation or organization.