Hip OA - Revision CPG Reviewer Feedback Form Question Title * 1. Name of Reviewer Question Title * 2. Affiliation of Reviewer Question Title * 3. Daytime Phone Question Title * 4. E-mail Address Question Title * 5. Role: (Select all that apply): Healthcare consumer Healthcare practitioner Clinical educator Academic educator Researcher Claims reviewer Administrator Policy maker Other (please specify) Question Title * 6. In your role as a healthcare consumer, practitioner, educator, researcher, claims reviewer, administrator, or policy maker, how would you describe the applicability / usefulness of this guideline. (Select only one) Of little, to no use Minimally useful Moderately useful Extremely useful Question Title * 7. Describe what you found most useful as you read this practice guideline. Question Title * 8. Describe what you found least useful as you read this practice guideline. Question Title * 9. Feel free to provide suggestions that you have regarding how to improve the usefulness of this clinical practice guideline: Question Title * 10. In your role as a healthcare consumer, practitioner, educator, researcher, claims reviewer, administrator, or policy maker, how would you describe the validity of this guideline? (Select only one) Does not represent peer-reviewed literature / only represents opinion Poorly represents peer-reviewed literature Somewhat represents peer-reviewed literature Accurately represents peer-reviewed literature Question Title * 11. If you feel that this guideline misrepresents the peer-reviewed literature, please provide an example of this misrepresentation: Question Title * 12. In your role as a healthcare consumer, practitioner, educator, researcher, claims reviewer, administrator, or policy maker, how would you describe the impact that this guideline will have on orthopaedic physical therapy patient care. (Select only one) Substantial negative impact on orthopaedic physical therapy patient care Minimal negative impact on orthopaedic physical therapy patient care Minimal positive impact on orthopaedic physical therapy patient care Substantial positive impact on orthopaedic physical therapy patient care Question Title * 13. Feel free to describe aspects of orthopaedic physical therapy that will be impacted in a negative manner as a result of this clinical practice guideline. You may also provide your rationale for this position: Question Title * 14. Feel free to describe aspects of orthopaedic physical therapy that will be impacted in a positive manner as a result of this clinical practice guideline. You may also provide your rationale for this position: Question Title * 15. Feel free to provide suggestions that you have regarding how to improve the impact of this clinical practice guideline: Done