ACC Multilingual ASCVD Risk Estimator Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This is the survey for collecting user feedback on ACC's web tool: Multilingual ASCVD Risk Estimator.

Responses to this survey are anonymous. No personal information is collected. We use responses to these surveys to continually improve ACC's web and mobile tool offerings.

1. Overall, how useful is the Multilingual ASCVD web app?
*

Extremely useful

Very useful

Somewhat useful

Not so useful

Not at all useful

2. In which of the following ways have you used the Multilingual ASCVD web app? (select all that apply)

As a tool to support my own clinical decision making

With a patient during a visit

To facilitate the documentation process (e.g. documenting patient’s ASCVD risk)

To facilitate treatment discussions across specialties

To guide or teach others at my practice/institution

As a patient, to review my own risk and treatment options

Other:

3. Which components of the Multilingual ASCVD web app are most useful to you? (select all that apply)

Calculation of 10-year, lifetime and optimal risk scores

Summary page

Having the option to select different languages

Clinician and patient resources

Email function

Print function

Other:

4. Would you recommend the Multilingual ASCVD web app to a colleague?

Yes

Other:

Clear selection

4, continued. Please provide your reason for recommending or not recommending the Multilingual ASCVD web app to a colleague.

5. Which best describes your clinical designation?

General Cardiologist

Cardiac Specialist

Primary Care Physician

Physician Assistant

Nurse Practitioner

Registered Nurse

Pharmacist

Student

Patient

Other:

Clear selection

6. How old are you?

18-24

25-34

35-44

45-54

55-64

65+

Clear selection

7. Which best describes your current practice environment?

Hospital

University/Teaching hospital

Outpatient Clinic

Other:

Clear selection

8. Do you practice primarily in the US or internationally?

I practice primarily in the U.S.

I practice primarily internationally

Clear selection

8, continued. If international, please specify which country.

9. What suggestions do you have for improving the Multilingual ASCVD web app?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms