Provider Feedback Survey

Thank you for participating! Your feedback will assist in informing program improvements for the Department of Veterans Affairs ‘Coordinated Veterans Care Program’.

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* I am a:

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* Email (if you would like to participate in future CVC program research activities to inform continuous improvement)

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* Do you know about the Coordinated Veterans Care Program?

GP Toolbox

The GP Toolbox is an online resource comprising 4 tools to assist healthcare providers to understand, enroll and manage patients in the CVC Program. Please rate the tools:

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* Eligibility Tool
Rate your likeliness to use this tool:

1 (very unlikely) 10 (very likely)
i We adjusted the number you entered based on the slider’s scale.

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* Care Plan Builder
Rate your likeliness to use this tool:

1 (very unlikely) 10 (very likely)
i We adjusted the number you entered based on the slider’s scale.

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* Find A Provider
Rate your likeliness to use this tool:

1 (very unlikely) 10 (very likely)
i We adjusted the number you entered based on the slider’s scale.

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* Claim Calculator
Rate your likeliness to use this tool:

1 (very unlikely) 10 (very likely)
i We adjusted the number you entered based on the slider’s scale.

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* How could we improve these tools?

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* Are you likely to use this online resource? Any other comments or areas for improvement?

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