Feedback Survey for the Disposable LACLS
This survey form is designed for feedback from professional health care therapists and administrators regarding satisfaction with the Disposable LACLS (LACLS[D]) for screening of functional cognitive capacities with individuals for whom infection control procedures must be observed. The LACLS[D] is intended for single or serial use with an individual, after which it should be discarded.
We respect your confidentiality. We will make certain that your responses are kept confidential and that survey results do not contain information that might personally identify you.
After you have used the Disposable LACLS tool with one or more clients (the clients do not have to be persons with infection control needs), please complete the following questions which should take less than 5 minutes. Please only respond one time to this survey. Thank you for your feedback.