Pediatric Calculator Pre Survey
Please complete this brief survey and quiz before using the pediatric drug dosing calculator. Thank you!
Sign in to Google to save your progress. Learn more
Name *
Training Level *
Have you done a pediatric anesthesia rotation before?
Clear selection
How familiar are you with commonly used pediatric drug dosing?
Not comfortable at all/No knowledge
Very comfortable
Clear selection
How frequently are you unsure of the appropriate pediatric drug dose?
Never
Always
Clear selection
How familiar are you with sizing the appropriate pediatric airway equipment (e.g., sizing ET tubes, laryngoscope blades, LMA)?
Not comfortable/No knowledge
Very comfortable
Clear selection
How frequently are you unsure of the appropriate pediatric airway equipment?
Never
Always
Clear selection
How do you calculate weight-based drug dosages for your adult patients? Please select all that apply:
How comfortable would you feel using a program or website to calculate recommended drug dosages?
Not comfortable at all
Very comfortable
Clear selection
In which setting would you use a clinical calculator to determine drug dosages? Select all that apply:
How frequently would you anticipate using a clinical calculator
Clear selection
How would you access a clinical calculator? Check all that apply:
Would you use a clinical calculator to calculate any of the following? Select all that apply
Would you need to use an outside reference to look up any of the following? Select all that apply
If you do look up information, what references do you use? Select all that apply
Are there any features, calculations, or information you would like to see on a calculator and/or website for easy reference?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms