TB Test Positive Now What? Booklet Pilot Test
Client Feedback (4 questions)
Start by reading this aloud:
I’d like to ask you four questions about this booklet. Your opinions will help us improve it.
1.
How helpful was it for you to read this booklet while we talked about your TB test results?
Not helpful (1)
Somewhat helpful (2)
Very helpful (3)
2.
What would make this more helpful?
3.
Is there anything in the booklet you think might be confusing for people?
4.
Did the information in this booklet make it more likley that you will take medicine to keep you from getting sick from TB?
Yes
No
Not sure
5.
Your feedback about this material
How helpful was this booklet with this patient?
Not helpful
Somewhat helpful
Very helpful
6.
What, if any, questions were asked by the client during this session?
7.
Based on your experience with this patient, what changes would you make to this booklet?
8.
In this booklet, we use the terms inactive/sleeping TB for LTBI. Please list any other terms for LTBI you used with this patient.
9.
Provider Name and Clinic
10.
County
Los Angeles
Orange
Santa Clara
San Diego
San Francisco
