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CRISM Telemedicine Support for Addiction Services National Rapid Guidance Document
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* Indicates required question
Email
*
Your email
General demographics
To which stakeholder group do you belong?
*
Researcher
Front-line health service provider
Person with lived and/or living experience of substance use
Director/Manager of a service program
Decision/Policy Maker
Public, general community member
Other service provider
Advocate for people who use drugs (PWUD)
Student/Trainee
Academic
I prefer not to answer this question
Other:
Required
In which province or territory do you reside?
*
British Columbia
Alberta
Saskatchewan
Manitoba
Ontario
Quebec
Nova Scotia
New Brunswick
Prince Edward Island
Newfoundland and Labrador
Yukon
Northwest Territories
Nunavut
Other:
CRISM Telemedicine Support for Addiction Services Guidance Document:
The following questions are related to your use of telemedicine and the rapid guidance document
Please indicate where you have received information on CRISM's Rapid Telemedicine Support for Addiction Services Guidance Document
*
Your answer
Prior to the dissemination of CRISM’s Telemedicine Support for Addiction Services rapid guidance document, have you used or practised telemedicine?
*
Yes
No
Prior to the dissemination of CRISM’s Telemedicine Support for Addiction Services rapid guidance document, have you ever used or practised telemedicine for Opioid Agonist Therapy (OAT)?
*
Yes
No
In the past year, please indicate how frequently you have used the following to access or provide health services?
Never
Several times/year
Once or twice/month
Several times/month
Weekly
Several times/week
Daily
Phone calls
Videoconferencing (e.g., Telehealth platform, Skype, Zoom)
Texting
Web Chat
Never
Several times/year
Once or twice/month
Several times/month
Weekly
Several times/week
Daily
Phone calls
Videoconferencing (e.g., Telehealth platform, Skype, Zoom)
Texting
Web Chat
Clear selection
Prior to reading the Telemedicine Support for Addiction Services Guidance how often in the past year did you use telemedicine?
*
Never
Several times/year
Once or twice/month
Several times/month
Weekly
Several times/week
Daily
Other:
After reading the Telemedicine Support for Addiction Services Guidance, how often did you use telemedicine?
*
Never
Several times/month
Once or twice/week
Several times/week
Daily
Other:
Were you aware of any telemedicine guidelines prior to the release of CRISM’s Telemedicine Support for Addiction Services?
Yes
No
Other:
Clear selection
If yes, above, please indicate which other telemedicine guideline(s)
Your answer
Do you think this guidance document is useful for your practice and/or your community?
*
Yes
No
If so, how?
Your answer
Have you shared the guidance document within your circle? If so, with whom?
Your answer
Will you be sharing the guidance document within your circle? If so, with whom?
Your answer
Please provide further comments or information here:
Your answer
Please submit your feedback for the Telemedicine Support for Addiction Services Guidance Document:
https://www.surveymonkey.com/r/6GJBZJ5
Thank you!
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