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Fertility Decision Aid tool Survey
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1.
Question 1.
What is your current job role?
Required
- Required.
Consultant
Trainee Clinician
SAS Clinician
Private practice Clinician
Scientist
Nurse/Nurse Practitioner
Other (please specify):
This is required
Input box for - Other (please specify):
Comments:
This is required
2.
Question 2.
In which setting do you work?
NHS
Private
Both
Other (please specify):
This is required
Input box for - Other (please specify):
3.
Question 3.
Do you work in an IVF setting?
Yes
No
Comments:
This is required
*
4.
Question 4.
Do you know what a decision aid is?
Required
- Required.
Yes
No
Not certain
5.
Question 5.
Do you know how a Decision Aid differs from a traditional ‘Patient information Leaflet’(PIL) ?
Yes
No
Not certain
6.
Question 6.
Do you think a decision aid would be more beneficial than PIL to aid an ‘informed’ decision-making process?
Yes
No
Not certain
7.
Question 7.
Do you use a patient decision aid for any fertility treatment option at your centre? (please do not state yes if you use only Patient information leaflet)
Yes
No
Not certain
Comments:
This is required
8.
Question 8.
Do you have a decision aid tool for donors? If yes, tick all that applies.
Yes
Egg donatiom
Sperm donation
Embryo donation
Donation for treatment
Donation for research
No
Not certain
Other (please specify):
This is required
Input box for - Other (please specify):
Comments:
This is required
9.
Question 9.
Do you think a decision aid tool would be useful in the field of fertility for treatment and/or research? If yes, please specify or tick all that applies.
Yes
ART treatment options (such as IVF/ICSI/SET/PGD etc)
Fertility preservation
Donors
Research(gamete/embryo research)
No
Not certain
Other (please specify):
This is required
Input box for - Other (please specify):
Comments:
This is required
10.
Question 10.
If a decision aid tool is available, would you be happy to trial it at your centre?
Yes
No
Not certain
Comments:
This is required
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