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Rheumatology for Primary Care Feedback
1.
Select the option that best describes you
Student, resident, or pre/post-doctorate
Rheumatology Fellow in Training
Rheumatologist (MD/DO)
Physician (non-rheumatology)
Advanced Practice Practitioner (NP/PA/APRN) specializing in rheumatology
Advanced Practice Practitioner (NP/PA/APRN
not
specializing in rheumatology
Patient
Caregiver
Epidemiologist
Radiologist
Other (please specify)
2.
If you selected Physician (non-rheumatology) or APP (non-rheumatology) above, please indicate your specialty
Internal medicine / primary care
Pediatric / primary care
Family Medicine
Hospital Medicine
Allergy and Immunology
Anesthesiology
Cardiology
Dermatology
Emergency Medicine
Gastroenterology
Nephrology
Neurology
OB/GYN
Oncology
Opthalmology
Orthopedics
Pulmonology
Psychiatry
General Surgery
Urology
Does not apply
Other (please specify)
3.
What was your primary reason for visiting the site today? (Select all that apply)
Validate concerns regarding suspected rheumatic disease in a patient
Identify next steps you should take for a patient with suspected rheumatic disease
Learn how to better manage a patient with diagnosed rheumatic disease
Learn more about your own suspected or diagnosed rheumatic disease
Learn more about rheumatology, in general
Other (please specify)
4.
Rate your satisfaction with the following on the Rheumatology for Primary Care website
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
Ease of use
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
Quality of the content
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
Usefulness in meeting your purpose for visiting the site
Extremely Satisfied
Satisfied
Neutral
Dissatisfied
Extremely Dissatisfied
5.
How likely are you to recommend the Rheumatology for Primary Care website to others
Very likely
Likely
Neither likely nor unlikely
Unlikely
Very unlikely
6.
What additional resources have you used to learn more about rheumatology and/or other specialties?
7.
What additional content topics would you like to see included on the site in the future?
8.
Additional comments / suggestions (e.g., most useful information, need for clarity of information, issues with locating content, topics to add, other areas of improvement)
9.
If you are interested in helping the American College of Rheumatology improve this offering or other similar offerings aimed at helping primary care providers in caring for patients with suspected or diagnosed rheumatic disease, please provide your name and email below.
Name
Email Address
