We are going to ask you a series of questions to gather information about what happened. Look for the green button label 'Next' and click it to go to the next question. Please answer all the questions, to the best of your ability.

When you are finished, you will see a green 'Submit' button.  If you don't make it to the end and submit, we will not get your report, so it's very important you finish.   

Remember, we are here to help you!