Evaluation of Electronic Safety Netting Tool for EMIS Web
1. Section 1: Practice Information
Page 1 of 6
Thank you for attending the Electronic Safety Netting Workshop and for completing this evaluation.
This evaluation should take approximately 30 minutes to complete. Your answers will be confidential but will be used collectively to evaluate the qualitative aspect of the toolkit.
There are two parts to the evaluation:
Part A - this survey &
Part B - search information
The second incentive will be issued to your practice once you have completed both parts of the evaluation and it has been returned to the collaborative.
This question requires an answer
1. What is the name of your practice and your CCG? *
This question requires an answer
2. What is the size of your patient list? *
This question requires an answer
3. Do you have a cancer lead in your practice? *
This question requires an answer
4. What are the name of the GP and the admin member of staff who attended the workshop? *
This question requires an answer
5. Date of the workshop that you or staff members attended? *
This question requires an answer
6. Are you a GP or Administrative member of staff?
If admin, please state your job title. *
This question requires an answer
7. What was the date that our Electronic Safety Netting tool was implemented at your practices? (Providing the month and year would be sufficient) *
This question requires an answer
8. For how many months has your practices used the Electronic Safety Netting toolkit now? *