Children's Hospital: Provider Survey (Parts 1 and 2)
This survey assesses knowledge, attitudes, skills and behaviors before and after an educational intervention.
Evaluation Tools - Provider Assessment
Children's Hospital and Regional Medical Center
Pediatric Palliative Care Project
Mail Stop CM - 11
4800 Sand Point Way, N.E.
Seattle, WA 98105
How the grantee used this instrument:
Physician self-administers Part I at or immediately following the enrollment clinic visit; Physician responds to a telephone interview of Part II (or self-reports) every three months.
pediatric, physician attitudes, physician survey, provider behavior, provider confidence
To use this tool:
You may print and copy this tool for your own use from this site. Please credit source.
Developed specifically for this project by the project team.
To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
PDF 256 KB / 4 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)
Posted September 2003
Children's Hospital and Regional Medical Center overview page
# CHRMC5, type:provider_assessment
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