Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hoyer Lift Survey
Sign in to Google
to save your progress.
Learn more
Dignity Lifts would like to hear your thoughts on Hoyer Lifts.
Have you ever used or purchased a Hoyer lift?
Yes, professionally.
Yes, for personal/family use.
No.
Clear selection
Are you familiar with the BMAT (Bedside Mobility Assessment Tool) Scale?
Choose
Yes.
No.
Not sure
At what mobility level(s) do you use a Hoyer Lift or overhead lift? (choose all that apply)
BMAT 1 - Cannot sit up on their own.
BMAT 2 - Can sit up and get to the side of the bed and shake hands but cannot stand.
BMAT 3 - Can flex their legs and stand, can walk with mobility aids
BMAT 4 - Can walk on their own
If you have a patient that is BMAT level 1 (cannot sit up on their own). How do you get them to the toilet or shower?
Your answer
If you have a patient that is BMAT level 2 (can sit up at the bedside, but cannot hold their weight in a standing position). How do you get them to the toilet or shower
?
Your answer
If you have a patient that is BMAT level 3 (can walk with mobility aids). How do you get them to the toilet or shower?
Your answer
When you use a Hoyer lift how many people does it require (beside the patient)
The Hoyer lift is used solo
The Hoyer lift is a two-person assist
The Hoyer lift requires 3 people. 2 person assist with supervision.
Clear selection
Your email (totally optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
