ChoRo Visual Perception Test Demographics Question Title * 1. Years practicing as an OT? Question Title * 2. What is your gender? Male Female Question Title * 3. Location of facility. Question Title * 4. What is your practice setting? Question Title * 5. What is the primary diagnosis of the client? Question Title * 6. Were you able to send in de-identified data? Yes No If no, please explain Question Title * 7. Rate your comfort level using ChoRo on a scale from 1-10 (1 = extremely difficult to use, 10 = extremely easy to use). 1 - Extremely Difficult to Use 2 3 4 5 6 7 8 9 10 - Extremely Easy to Use 1 - Extremely Difficult to Use 2 3 4 5 6 7 8 9 10 - Extremely Easy to Use Comments Question Title * 8. What do you like best about the ChoRo online screening tool? Explain. Question Title * 9. What did you not like about the ChoRo online screening tool? Explain. Question Title * 10. Did you have any difficulty using the scoring sheet? If so, specify what kind of difficulties did you have? Question Title * 11. Were any specific questions difficult to understand? If so, which one (s)? Explain. Question Title * 12. For what populations of clients would you consider the ChoRo appropriate? Question Title * 13. Overall, how easy to use is the ChoRo website? Suggestions? Next