PANTHERTOOLs Feedback Form (thanks!)

Please complete the following survey after using one or more of the PANTHERTOOLs to help us enhance the tools further for other clinicians. Thanks in advance!

Question Title

* 1. Please select the option that best describes you:

Question Title

* 2. Which of the following best describes your work environment:

Question Title

* 3. Describe the Type of Visit:

Question Title

* 4. Which tool did you use? (select 1)

Question Title

* 5. Did you use the tool on paper or online?

Question Title

* 6. Which of the following sections of the Point of Care Tool did you use?

Question Title

* 7. If you didn’t use some of the sections, please tell us why. (click all that apply)

Question Title

* 8. Approximately how long did it take to use the Point of Care Tool as part of your visit?

Question Title

* 9. Please comment on what you found most useful or beneficial about the PANTHER tool.

Question Title

* 10. Were there any parts of the PANTHER Tool you found confusing, unclear or problematic? Please explain.

Question Title

* 11. What could we do to improve the PANTHER Tool?

Question Title

* 12. In your opinion, how useful was this tool?

Question Title

* 13. How likely would you be to recommend this tool to other healthcare professionals?

Question Title

* 14. Would you be willing to have us contact you for more information? If so, please provide your preferred email.

T