|Q1. Which of the following best describes the outcome of this eConsultation for your patient:||
1. I was able to confirm a course of action that I originally had in mind;|
2. I got new advice for a new or additional course of action;
3. I did not find the response very useful;
4. None of the above.
|Q2. As a result of the eConsultation would you say that:||
1. Referral was originally contemplated but now avoided at this stage;|
2. Referral was originally contemplated and is still needed – this eConsult likely leads to a more effective visit;
3. Referral was not originally contemplated and is still not needed – this eConsult provided useful feedback/instruction;
4. Referral was not originally contemplated, but eConsult process resulted in a referral being initiated;
5. There was no particular benefit to using eConsult in this case;
6. Other (please explain).
|Q3. Please rate the overall value of the eConsult.||Minimal 1 2 3 4 5 Excellent|
|Q4. Please rate the overall value of the eConsult service in this case for you as a primary care providers.||Minimal 1 2 3 4 5 Excellent|
|Q5. We would value any additional feedback you provide:|