1. Toolkit Feedback Form

* 1. How did you find out about the toolkit?

* 2. Why are you interested in the toolkit?

* 3. Did you find (or do you think you will find) the toolkit helpful in designing APN or other new health provider roles?

* 4. What was the most useful section(s) of the toolkit? Please describe.

* 5. What was the least useful section(s) of the toolkit? Please describe.

* 6. Please rate each statement.

  Strongly agree Agree Neutral Disagree Strongly disagree
1) The electronic toolkit was easy to navigate.
2) The toolkit provided information that was relevant to my topics of interest.
3) The toolkit is a valuable resource.
4) I would recommend the toolkit to others.

* 7. Please rate the overall useability and layout of the toolkit.

* 8. What changes could we make to improve the toolkit? Please describe.

* 9. How would you describe the major focus of your professional role?

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