Introduction

Thank you for using/ testing/ piloting the Patient Engagement Quality Guidance (PEQG)!

This is a feedback form to assess the level of quality in a completed PE project as a retrospective evaluation.

We appreciate your feedback on how you use the PEQG in order to learn two main things:
1) how useful it is for you and for other relevant stakeholders in the patient engagement (PE) context, and
2) the potential impact if PEQG was used in this project.

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 were your expectations in using the PE Quality Guidance before starting the evaluation?

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* 4. How well did the PE Quality guidance meet your expectations ?

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* 5. How relevant was each of the 7 Quality Criteria to this project overall ? [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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* 6. If some criterion was completely irrelevant, please explain which of the following and why.

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* 7. What was the PE Quality Guidance NOT capturing that might have been important?

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

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* 9. Which of the following words would you use to describe the guidance?

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* 10. How well did the PE Quality Guidance help you in the following?

The PEQG helped me in

  1 - Not at all well 2 - Slightly well 3 - Moderately well 4 - Well  5 - Extremely well
measuring the quality of your patient engagement activity.
identifying areas of improvement.

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* 11. Evaluate what impact would using the PE Quality Guidance have had in your project if it was used from the beginning. What would you have achieved?


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* 12. Is the PE Quality Guidance suitable or useful for retrospective evaluations?

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* 13. 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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* 14. Please describe to us your overall experience in using the PE Quality Guidance.

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* 15. Tell us the 3 main learnings (lessons learned or practical tips) from your experience in using the PE Quality Guidance.

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* 16. Do you have recommendations to improve the PE Quality Guidance?

T