Which form of the electronic Asthma Action Plan have you used?

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* 1. Which form of the electronic Asthma Action Plan have you used?

Do you believe the electronic Asthma Action Plan provided by MDHHS is an effective method of communication between patients, parents, adults, healthcare providers and daycare/school personnel in supporting asthma management?

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* 2. Do you believe the electronic Asthma Action Plan provided by MDHHS is an effective method of communication between patients, parents, adults, healthcare providers and daycare/school personnel in supporting asthma management?

Do you believe this electronic Asthma Action Plan presents adequate, easily understood information?

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* 3. Do you believe this electronic Asthma Action Plan presents adequate, easily understood information?

Do you believe patients will use/review this electronic Asthma Action Plan?

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* 4. Do you believe patients will use/review this electronic Asthma Action Plan?

How easy or difficult was it to complete the Asthma Action Plan for each patient?

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* 5. How easy or difficult was it to complete the Asthma Action Plan for each patient?

Approximately how long did it take to complete the Asthma Action Plan for each patient? 

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* 6. Approximately how long did it take to complete the Asthma Action Plan for each patient? 

Were there any features that you did not find useful or relevant?

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* 7. Were there any features that you did not find useful or relevant?

What features did you find most useful or relevant?

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* 8. What features did you find most useful or relevant?

Do you have any suggestions for improving the tool?

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* 9. Do you have any suggestions for improving the tool?

Other comments:

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* 10. Other comments:

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