Introduction

Thank you for using/ testing/ piloting the Patient Engagement Quality Guidance (PEQG)!
 
This is a first feedback form to be filled in for projects in the planning or ongoing projects that enter the piloting process.
 
We appreciate your feedback on how you use the PEQG in order to learn two main things:
1) how useful it is for you in the patient engagement (PE) context, and
2) what is the impact achieved when using the PE Quality Guidance compared to situations where PE Quality Guidance would not have been used in the past.

By filling out this feedback form (and others in the process) you will help us improve the usability of the PE Quality Guidance and gather valuable input on how we can increase the impact the PE Quality Guidance has in PE activities.
 
PROCESS AND MATERIAL
If you haven't yet registered your project as a piloting project, please do so first, so that we receive basic information about your project. Only then continue to this feedback form.

Link to registration form: https://www.surveymonkey.com/r/PEQG-piloting-registration
Link to the Piloting manual: https://patientfocusedmedicine.org/peqg/Piloting-Manual.pdf

DATA:
Your data will be shared within the PFMD team during the piloting period and will be kept for the improvement work of PEQG. As agreed in the piloting registration, your feedback will be consolidated and used in the final report of the piloting period. 

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* 1. Name of the project

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* 2. Name and Organisation of Respondent

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* 3. What expectations do you have for the PE Quality Guidance ?

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* 4. How did you use the PE Quality Guidance with your project partners ?

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* 5. How relevant is each of the 7 Quality Criteria to this project in your opinion? [rank the value (from 1 not relevant to 4 highly relevant]

  1 - Not at all relevant 2 - Slightly relevant 3 - Relevant 4 - Highly relevant
Shared Purpose
Respect and Accessibility
Representativeness of Stakeholders
Roles and Responsibilities
Capacity and Capability for Engagement
Transparency in Communication and Documentation
Continuity and Sustainability

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* 6. Is the PE Quality Guidance easy to understand ?

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* 7. If the answer to question 6 is no, what can we improve?

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* 8. Tick the box if the PE Quality Guidance:

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* 9. What challenges did you experience when filling out the PE Quality Guidance tool (if any)?

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* 10. At this stage, how likely is it that you would recommend the PE Quality Guidance to others? (0-10 scale)

0 10
i We adjusted the number you entered based on the slider’s scale.

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* 11. Any experience, specific comments, thoughts or feedback you would like to share with us after completing the PE Quality Guidance?

T