Emergency Healthcare Record (EHR) Card Survey

The Emergency Healthcare Record (EHR) Card helps with communication during a healthcare emergency. You are invited to participate in this survey which will help determine the future of this project.

To be in with a chance to win a €100 one for all voucher please complete the survey in full and enter your contact details.

Personal identifiable information will not be stored or shared.

If you would like this survey to be sent to you in a different language please email leahm.bentham@hse.ie with the language you require.

General background information

1.What is your first name?(Required.)

2.What is your surname (family name)?(Required.)

3.What is your gender?(Required.)

Female

Male

Other (specify)

5.Can you read and write in English?(Required.)

Yes

6.If your answer to question 5 was NO, what language do you require written information in?

7.Please enter your mobile number.

8.Please enter your email address.

9.Please select which answer applies to you the most. Are you...(Required.)

a member of the general public?

working for a community based organisation/service?

working in a residential centre?

working in primary healthcare?

working in a hospital (secondary care)?

working in the National Ambulance Service?

10.Have you filled in an EHR card for your own use?(Required.)

Yes

11.Have you helped somebody else to fill in an EHR card?(Required.)

Yes

12.Have you explained to someone how they can get an EHR card?(Required.)

Yes

13.As an organisation have you participated in the EHR Card project by promoting the EHR cards?(Required.)

14.As an organisation have you participated in the EHR Card project by encouraging people to use the EHR Cards in healthcare emergencies?(Required.)