Client Feedback (4 questions)

Start by reading this aloud:
I’d like to ask you four questions about this booklet. Your opinions will help us improve it.

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* 1. How helpful was it for you to read this booklet while we talked about your TB test results?

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* 2. What would make this more helpful?

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* 3. Is there anything in the booklet you think might be confusing for people?

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* 4. Did the information in this booklet make it more likley that you will take medicine to keep you from getting sick from TB?

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* 5. Your feedback about this material

How helpful was this booklet with this patient?

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* 6. What, if any, questions were asked by the client during this session? 

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* 7. Based on your experience with this patient, what changes would you make to this booklet?

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* 8. In this booklet, we use the terms inactive/sleeping TB for LTBI. Please list any other terms for LTBI you used with this patient.

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* 9. Provider Name and Clinic

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* 10. County

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