Practice Standard Survey - Consent

A brief survey about the Practice Standard - Consent. The Practice Guideline - Consent also provides helpful information. All responses are confidential. Individuals will not be identified. Responses will be analyzed based on aggregate data only.

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* 1. Years of experience as a kinesiologist (optional):

0-5 years

5-10 years

10-15 years

15-20 years

20+ (please specify)

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* 2. Nature of practice (optional)

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* 3. Practice location (see: Electoral Districts) (optional)

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* 4. Express consent is and may involve (select all that apply)

To acquiesce, agree, approve, assent and give permission to some act or purpose.

Consent that is inferred from signs, actions or facts or by inaction or silence.

Consent that is given directly in explicit words, either verbally or written.

Consent given by a person based upon a clear appreciation and understanding of the facts, implications and future consequences of an action.

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* 5. A patient/client signature on a consent form is required and necessary to document ongoing informed consent.

True

False

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* 6. Please select the highest-ranking Substitute Decision Maker (see pgs. 3-4 of the Practice Standard)

A sibling (brother or sister) of the incapable person

The Public Guardian and Trustee

The spouse or partner of the incapable person

The incapable person's attorney for personal care, if the power of attorney confers authority to give or refuse consent to the treatment

The incapable person's guardian, if the guardian has authority to give or refuse consent to the treatment

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* 7. Please use this space to ask any questions or provide any feedback you may have about the Practice Standard - Consent and/or Practice Guideline - Consent.