Rheumatology for Primary Care Feedback Question Title * 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) Question Title * 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) Question Title * 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) Question Title * 4. Rate your satisfaction with the following on the Rheumatology for Primary Care website Extremely Satisfied Satisfied Neutral Dissatisfied Extremely Dissatisfied Ease of use Ease of use Extremely Satisfied Ease of use Satisfied Ease of use Neutral Ease of use Dissatisfied Ease of use Extremely Dissatisfied Quality of the content Quality of the content Extremely Satisfied Quality of the content Satisfied Quality of the content Neutral Quality of the content Dissatisfied Quality of the content Extremely Dissatisfied Usefulness in meeting your purpose for visiting the site Usefulness in meeting your purpose for visiting the site Extremely Satisfied Usefulness in meeting your purpose for visiting the site Satisfied Usefulness in meeting your purpose for visiting the site Neutral Usefulness in meeting your purpose for visiting the site Dissatisfied Usefulness in meeting your purpose for visiting the site Extremely Dissatisfied Question Title * 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 Question Title * 6. What additional resources have you used to learn more about rheumatology and/or other specialties? Question Title * 7. What additional content topics would you like to see included on the site in the future? Question Title * 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) Question Title * 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 Done
