The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

Untitled form
Send
Untitled form
Section 1 of 1
Question
Question Type
Loading image…
Researcher
Hospital Staff or Administrator
Healthcare Practitioner
Healthcare Purchaser
Patient
Healthcare Agency
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Multiple times a week
Once a week
Once a month
Every three months
Every six months
Once a year
Never
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Very Difficult
Very Easy
to
1
Label (optional)
7
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Multiple times a week
Once a week
Once a month
Every three months
Every six months
Once a year
Never
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Very Difficult
Very Easy
to
1
Label (optional)
7
Label (optional)
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Coworker or Manager
Patient
Web Search
LinkedIn
Twitter
Other…
Add option
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
True
False
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
True
False
Add option
or
add "Other"
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
1
2
3
4
5
6
7
Blog
Program History
Document Archive
Information on Foundation Board of DIrectors
Event/Workshop Calendar and Signup
Videos Explaining Program Functions and Responsibilities
Participating Hospital and Physician Information
Rows
1.
Blog
2.
Program History
3.
Document Archive
4.
Information on Foundation Board of DIrectors
5.
Event/Workshop Calendar and Signup
6.
Videos Explaining Program Functions and Responsibilities
7.
Participating Hospital and Physician Information
8.
Add row
Columns
1
2
3
4
5
6
7
Add column
Answer key
(0 points)
Loading...
Loading…
Question
Question Type
Loading image…
Answer key
(0 points)
Loading...
Loading…
Message for respondents
This form is no longer accepting responses
Insights
Total points distribution
Loading...
Loading responses…
I am a...
Copy
No responses yet for this question.
I visit the Foundation for Health Care Quality website (qualityhealth.org)...
Copy
No responses yet for this question.
How easy is it to navigate the Foundation for Health Care Quality website (qualityhealth.org)?
Copy
No responses yet for this question.
I visit the Washington Patient Safety Coalition website (wapatientsafety.org)...
Copy
No responses yet for this question.
How easy is it to navigate the Washington Patient Safety Coalition website (wapatientsafety.org)?
Copy
No responses yet for this question.
I heard about the Foundation for Health Care Quality and their programs from...
Copy
No responses yet for this question.
I can easily understand the content on the Washington Patient Safety Coalition website (wapatientsafety.org).
Copy
No responses yet for this question.
In the past year I’ve read, searched for, or otherwise utilized research papers, documents, or articles from earlier than 2013 via the Washington Patient Safety Coalition website (wapatientsafety.org).
Copy
No responses yet for this question.
Rank the importance of the following website content on the Washington Patient Safety Coalition website (wapatientsafety.org).
Copy
No responses yet for this question.
In five words or less, I would describe my experience with the Washington Patient Safety Coalition website (wapatientsafety.org/) as...
No responses yet for this question.
Settings
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions
.