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Assessing the Utility of a Pilot Program Development Toolkit
Thank you for agreeing to participate in this important research project to support the community mobility needs of an aging population and the American Occupational Therapy Association’s Older Driver Initiative.
Instructions • Please read each question thoroughly before answering. • Please answer each question completely.
Confidentiality Steps have been taken to ensure the highest level of confidentiality regarding all information collected. • No identifying information will be gathering during the study • All data will be collected and processed solely by the research team, no data will be released to anyone outside of that group. • All information will be analyzed in such a way as to make it impossible to connect responses to any specific individual. • Any personally identifiable information will not be connected to responses.
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Indicate the title of your position at your primary facility. (Choose only one.)
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In what state is your primary facility located?
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In what type of facility do you work?
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In what demographic area do you work?
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How many years have you been working in health care?
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Practioners, please also complete the following demographic information:
In what practice area do you work? (Identify a maximum of 3 responses.)
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Please answer each question as all responses are essential to the accurate evaluation of the program toolkit.
Strongly DisagreeDisagreeAgreeStrongly Agree
The resource toolkit was easy to access.
The organization of the resource toolkit was logical and made it easy to find information.
The toolkit content could be easily adapted to suit populations other than older adults.
The resource toolkit content areas were comprehensive and thorough.
The resource toolkit would be useful for developing a driving rehabilitation or community mobility program.
The resource toolkit contained the type of information I expected to find.
The resource toolkit content exceeded my expectations.
I would recommend this toolkit.
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The most useful pieces of the program toolkit were:
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The resource toolkit could be improved upon adding the following item(s):
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In what ways, if any, might you use the knowledge or resources built into the toolkit? (Identify a maximum of 3 responses.)