NET Treatment and Wellness Plan Pilot - Health Professionals Evaluation Survey

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* 1. In what capacity have you participated in the completion of the NET Treatment and Wellness Plan?

Specialist (e.g. Oncologist)

Care coordinator (e.g. Nurse)

Other health professional

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* 2. What category best describes your primary place of practice?

Public hospital

Private hospital/treatment centre

Other (please specify)

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* 3. How did you hear about the Treatment and Wellness Plan?

Initiated by patient

Unicorn Foundation E-News

Unicorn Foundation Facebook Page

Australian Cancer Survivorship Centre

Other Health Professional

Other (please specify)

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* 4. Please tell us how much you agree with the following statements about the treatment and wellness plan:

	Strongly disagree				Strongly agree
The plan provides an accurate record of the patient's treatment and investigations to date	The plan provides an accurate record of the patient's treatment and investigations to date Strongly disagree	The plan provides an accurate record of the patient's treatment and investigations to date	The plan provides an accurate record of the patient's treatment and investigations to date	The plan provides an accurate record of the patient's treatment and investigations to date	The plan provides an accurate record of the patient's treatment and investigations to date Strongly agree
The plan allows patients to understand their plan of treatment	The plan allows patients to understand their plan of treatment Strongly disagree	The plan allows patients to understand their plan of treatment	The plan allows patients to understand their plan of treatment	The plan allows patients to understand their plan of treatment	The plan allows patients to understand their plan of treatment Strongly agree
The plan allows patients to have a record of, and understand future investigations/ monitoring	The plan allows patients to have a record of, and understand future investigations/ monitoring Strongly disagree	The plan allows patients to have a record of, and understand future investigations/ monitoring	The plan allows patients to have a record of, and understand future investigations/ monitoring	The plan allows patients to have a record of, and understand future investigations/ monitoring	The plan allows patients to have a record of, and understand future investigations/ monitoring Strongly agree
The plan provides a record of other professionals involved in the patient's care	The plan provides a record of other professionals involved in the patient's care Strongly disagree	The plan provides a record of other professionals involved in the patient's care	The plan provides a record of other professionals involved in the patient's care	The plan provides a record of other professionals involved in the patient's care	The plan provides a record of other professionals involved in the patient's care Strongly agree
The plan includes a record of how and when to contact other health professionals	The plan includes a record of how and when to contact other health professionals Strongly disagree	The plan includes a record of how and when to contact other health professionals	The plan includes a record of how and when to contact other health professionals	The plan includes a record of how and when to contact other health professionals	The plan includes a record of how and when to contact other health professionals Strongly agree
The plan provides adequate information about maintaining and improving general health	The plan provides adequate information about maintaining and improving general health Strongly disagree	The plan provides adequate information about maintaining and improving general health	The plan provides adequate information about maintaining and improving general health	The plan provides adequate information about maintaining and improving general health	The plan provides adequate information about maintaining and improving general health Strongly agree
The plan provides information for patients about how they can contribute to the management of their treatment	The plan provides information for patients about how they can contribute to the management of their treatment Strongly disagree	The plan provides information for patients about how they can contribute to the management of their treatment	The plan provides information for patients about how they can contribute to the management of their treatment	The plan provides information for patients about how they can contribute to the management of their treatment	The plan provides information for patients about how they can contribute to the management of their treatment Strongly agree
The plan encourages patients to become more active in order to improve their condition	The plan encourages patients to become more active in order to improve their condition Strongly disagree	The plan encourages patients to become more active in order to improve their condition	The plan encourages patients to become more active in order to improve their condition	The plan encourages patients to become more active in order to improve their condition	The plan encourages patients to become more active in order to improve their condition Strongly agree

Comments

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* 5. How easy was this document to complete?

Exremely difficult

Extremely easy

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. How much time did the plan take you to complete (on average)?

0 Minutes

60 minutes

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. Comments:

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* 8. How did you fill this form in?

Via computer

Manually (pen and paper)

Other (please specify)

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* 9. Would you envisage this tool being shared with GPs

Yes

Comments

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* 10. Would you envisage this tool being useful for other health professionals?

Yes

Comments

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* 11. Overall, how satisfied were you with this tool?

Not at all satisfied

Extremely satisfied

Not at all satisfied

Extremely satisfied

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* 12. Is there anything you would change about the tool?

Yes

Comments:

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* 13. Thank you for your feedback. Is there anything else you would like to add?

We would love you to join us for our next webinar which will look at diagnostic imaging in NETs.
Stay tuned for more information via our website or Facebook page very soon!