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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
  • More About:

  • Hospice Care
  • Clergy and Faith Communities
  • Additional Links
    Downloads
    Site Index

    End of Life Care Education Internet Project Users Survey

    Please complete the following survey to let us know about your experience using the site. Your feedback is valuable to us in our effort to improve this site and better meet your needs.

    1. How did you find the End of Life Care Education Website? (Check all that apply.)

    Search Engine Recommendation from Friend/Colleague

    Link from Other Site Recommendation from Health Care Provider

    Inservice Program Advertisement (please specify)

    Other (please specify)


     
    2. How often have you used this site?

    Once Twice

    3 – 4 Times 5 or More Times

     
    3. What is the longest period of time you have used the site on a single occasion?

    More than an hour 31 minutes to an hour 16 to 30 minutes

    5 to 15 minutes Less than 5 minutes

     
    Please let us know about your general experience with our End of Life Care Education Website.

    Strongly
    Disagree
    Disagree Neutral Agree Strongly
    Agree
    4. Easy to use and navigate.
    5. Attractive design and layout.
    6. Material was well organized.
    7. Structure was intuitive and logical.
    8. Graphics were pleasing and effective.
    9. Found what I was looking for quickly.
    10. Convenient way to learn about palliative care and end-of-life decisions.

     
    Information provided at the End of Life Care Education Website:

    Strongly
    Disagree
    Disagree Neutral Agree Strongly
    Agree
    11. Was up to date.
    12. Was appropriate to my level of training and experience.
    13. Was helpful to me in caring for my patients or my loved ones.
    14. Provided a valuable learning experience for me.

     
    15. Please indicate how helpful the content of each of the following specific areas of the End of Life Care Education Website is to you in your current work:

    Helpful Not Helpful Did Not Use
    a. Pain control and symptom management.
    b. Cultural and religious issues.
    c. Psychology of dying & grief.
    d. Ethical and legal issues.

     
    16. Based upon your overall impression of the End of Life Care Education Website:

    Strongly
    Disagree
    Disagree Neutral Agree Strongly
    Agree
    a. I intend to use this Internet site again.
    b. I would recommend this Internet site to others.
    c. Fully met my expectations.
    d. Was worth my time and effort.
    e. I was fully satisfied.
    f. Compares favorably with other medical information websites.

     
    What about the site helped you the most? (Please limit to 20 lines)
    What about the site did you like the least? (Please limit to 20 lines)
    What about the site would you improve? (Please limit to 20 lines)

     
    Please tell us about yourself:
    D1. Are you a health care professional?

    Yes No

     
    D1a. If yes, what is your discipline?

    Nurse Physician Chaplain

    Social Worker Psychologist Volunteer

    Other (please specify)



     
    D1b. If no, what is your interest in using this site?

    Patient Family Member Researcher

    Educator Other (please specify)


     
    D2. If you are a student, what is your level of training?

    Student Intern Resident or Fellow

     
    D3. If you are a professional who has completed your training, what is your level of experience in this discipline?

    Less than five years Five to ten years More than ten years

     
    D4. What percent of your current work involves the care of dying patients and their families?

    Less than 10% 11% to 25% 26% to 50%

    51% to 75% More than 75%

     
    D5. What computer and internet access do you have?

    Yes No
    a. Access to a computer at work?
    b. Internet access at work?
    c. Access to a computer at home?
    d. Internet access at home?

     
    D6. What is your gender?

    Male Female

     
    D7. What is your age?

    Under 18 18 - 29 30 - 39

    40 - 49 50 - 59 60 and older

     
    D8a. What is your race or ethnicity?

    White/Caucasian Black/African American Asian

    Native American/American Indian Multi-ethnic Pacific Islander

    Other (please describe)



     
    D8b. Are you of Hispanic or Latino ethnicity?

    Yes No

     
    D8c. If you are multi-ethnic, which of the following groups describe your ethnic background? Please check all that apply.

    White/Caucasian Black/African American Asian

    Native American/American Indian Multi-ethnic Pacific Islander

    Other (please describe)



     
    D9. What is your city, state/province, country?

    Thank you very much for completing this survey. We appreciate your effort to help us improve the site.