Demographics

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* 1. Years practicing as an OT?

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* 2. What is your gender?

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* 3. Location of facility.

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* 4. What is your practice setting?

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* 5. What is the primary diagnosis of the client?

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* 6. Were you able to send in de-identified data?

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* 7. Rate your comfort level using ChoRo on a scale from 1-10 (1 = extremely difficult to use, 10 = extremely easy to use).

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* 8. What do you like best about the ChoRo online screening tool? Explain.

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* 9. What did you not like about the ChoRo online screening tool? Explain.

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* 10. Did you have any difficulty using the scoring sheet? If so, specify what kind of difficulties did you have?

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* 11. Were any specific questions difficult to understand? If so, which one (s)? Explain.

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* 12. For what populations of clients would you consider the ChoRo appropriate?

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* 13. Overall, how easy to use is the ChoRo website? Suggestions?

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