Please complete the survey below to help us improve the AACVPR Cardiac and Pulmonary Registries!

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* 1. Contact Information

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* 2. Is your program AACVPR certified?

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* 3. Is your staff the same for both cardiac and pulmonary rehabilitation?

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* 4. Please indicate number of people in each role for your core team: 

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* 5. Do you participate in the Cardiac Registry?

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* 6. If you do use the Cardiac Registry, how long have you used it? 

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* 7. Do you participate in the Pulmonary Registry?

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* 8. If you do use the Pulmonary Registry, how long have you used it?

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* 9. What is the estimated volume of patients enrolled each month?

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* 10. Do you use outcome tools that are not listed in the Registry? If so, which tools?

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* 11. How is your data entered into the registry? 

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* 12. Who enters your data?

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* 13. When do you enter your patient data into the registry?

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* 14. On average, how long does it take to collect and compile the data you enter into the registry? 

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* 15. On average, how long does it take to enter data for each patient record into the registry? 

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* 16. Please indicate your use of each of the following registry reports:

  Used Regularly Used Sometimes Used Infrequently Not Used
Individual Patient Report
Program Outcomes Report
Comparison Report
Performance Report
Data Extraction Utility

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* 17. Would you like more instructional information on how to use these registry reports?

  Yes No
Individual Patient Report
Program Outcomes Report
Comparison Report
Performance Report
Data Extraction Utility

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* 18. Do you enter patients who do not enroll in your program?

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* 19. Do you enter follow-up data?

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* 20. What do you like most about the registry?

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* 21. What do you like least about the registry? 

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* 22. What registry resources do you find most helpful? 

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* 23. What would you like additional instruction on (reports use and interpretation, data entry tips, etc.) within the registry?

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* 24. What would you like to have added to the registry?

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* 25. How would you prefer to learn more about the registry?

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* 26. If you would like to be contacted to write a case study for the Registry Newsletter or for News and Views on how your program uses the registry, please check the box below

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* 27. Please enter any other suggestions or comments you have for the registry below: 

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