Preference Card Optimization Campaign Sign-Up Form

Thank you for your interest in participating in the Preference Card Optimization Campaign. Please complete the form below to help us confirm your participation and better understand your current preference card practices.

The Preference Card Campaign is a SUSTAIN Initiative focused on reviewing and optimizing surgical preference cards which aims to reduce unnecessary supplies, improve workflow efficiency, and strengthen value in surgical care. The Campaign will run for one year (August 2nd, 2026- August 2nd, 2027).

This Campaign brings together surgeons, perioperative teams, and professional surgical organizations to standardize and maintain accurate, high-value preference cards. To learn more about the Preference Card Optimization Campaign please visit our website.

Credit Claiming
Participants may be eligible to claim credits for completing campaign activities. Full credit is available to participants who complete all required steps, including the pre-survey, preference card uploads, webinar participation and post-survey. Partial credit may be awarded based on the activities completed. Attendance at informational webinars is encouraged and may count toward credit, but it is not required to participate in the campaign. For more information, please visit our website (facs.org/sustain).

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1. Name (Required.)

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2. Please enter your preferred email address. (Required.)

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3. Institution

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4. Role/Tilte

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5. Are you interested in participating in the Preference Card Optimization Campaign? (Required.)

Yes

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6. Who else from your institution should be included in campaign communications?

Please include name, role, and email if applicable.

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7. Have you attended any of the SUSTAIN webinars?

Yes

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8. Which procedure, specialty, or service line will your preference card focus on?

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9. How often are preference cards reviewed or updated at your institution?

Monthly

Quarterly

Annually

As needed

Not currently reviewed on a regular schedule

Not Sure

Other (please specify)

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10. What are your main goals for participating in this campaign?

Select all that apply.

Reduce waste

Improve supply use

Standardize preference cards

Reduce cost

Improve team communication

Support OR sustainability efforts

Other (please specify)

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11. What challenges do you currently experience with preference cards?

Select all that apply.

Outdated preference cards

Unused supplies being opened

Variation between surgeons or teams

Lack of clear ownership

Limited time to review cards

Difficulty accessing data

Other (please specify)

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12. What tools or resources would help you optimize your preference cards?

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13. Are you willing to share your experiences and progress during one or more educational webinars?

Yes

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14. Are you willing to share your experience in a focus group after the Campaign concludes?

Yes

Preference Card Optimization Campaign Sign-Up Form

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* 1. Name (Required.)

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* 2. Please enter your preferred email address. (Required.)

Question Title

* 3. Institution

Question Title

* 4. Role/Tilte

Question Title

* 5. Are you interested in participating in the Preference Card Optimization Campaign? (Required.)

Question Title

* 6. Who else from your institution should be included in campaign communications?Please include name, role, and email if applicable.

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* 7. Have you attended any of the SUSTAIN webinars?

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* 8. Which procedure, specialty, or service line will your preference card focus on?

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* 9. How often are preference cards reviewed or updated at your institution?

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* 10. What are your main goals for participating in this campaign?Select all that apply.

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* 11. What challenges do you currently experience with preference cards?Select all that apply.

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* 12. What tools or resources would help you optimize your preference cards?

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* 13. Are you willing to share your experiences and progress during one or more educational webinars?

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* 14. Are you willing to share your experience in a focus group after the Campaign concludes?

1. Name (Required.)

2. Please enter your preferred email address. (Required.)

3. Institution

4. Role/Tilte

5. Are you interested in participating in the Preference Card Optimization Campaign? (Required.)

6. Who else from your institution should be included in campaign communications?

Please include name, role, and email if applicable.

7. Have you attended any of the SUSTAIN webinars?

8. Which procedure, specialty, or service line will your preference card focus on?

9. How often are preference cards reviewed or updated at your institution?

10. What are your main goals for participating in this campaign?

Select all that apply.

11. What challenges do you currently experience with preference cards?

Select all that apply.

12. What tools or resources would help you optimize your preference cards?

13. Are you willing to share your experiences and progress during one or more educational webinars?

14. Are you willing to share your experience in a focus group after the Campaign concludes?