Introduction

Thank you for piloting the PEQG! 

This is an interim feedback form for ongoing projects - to be submitted with the filled in PEQG scenario 2.
 
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 these feedback forms you will help us improve the usability of the PE Quality Guidance to the whole community and gather valuable input in how we can increase the impact the PE Quality Guidance has in PE activities.

PROCESS AND MATERIAL
By now you should have already registered your project and completed the first feedback and evaluation. However, 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 or the very first feedback from.

Link to registration form: https://www.surveymonkey.com/r/PEQG-piloting-registration
Link to the first feedback form: https://www.surveymonkey.com/r/PEQG-piloting-first-feedback 
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. How well has the PE Quality Guidance helped in the following?

The PE Quality Guidance has helped me to

  1 - Not at all well 2 - Slightly well 3 - Moderately well 4 - Well 5 - Very well
better capture the quality of my project.
better capture and communicate about the impact of my project (for example to management)

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* 4. How relevant is each of the 7 Quality Criteria to this project at this moment? [rank the value from 1 not relevant to 4 highly relevant]

  1 - Not 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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* 5. What is the PE Quality Guidance NOT capturing right now that might be important?

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* 6. What challenges did you experience when filling out the PE Quality Guidance?

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* 7. Describe which aspect do you expect the PE Quality Guidance will help you improve in your initiative.

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* 8. In your piloting experience so far, tell us what went well and what would be “even better if”?

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

0 - Not at all likely 10 Extremely likely
i We adjusted the number you entered based on the slider’s scale.

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* 10. Anything else you would like to share with us ?

T