Clinical Implementation Tools Feedback Questionnaire

1. Which of the following best describes your role? Select one:

• Health care provider
• Health system administrator, manager or decision-maker
• Allied health professional
• Learner, trainee or resident
• Educator, trainer or faculty member
• Community organization, partner organization or advocate
• Patient, family member or member of the public
• Other, please specify: Please enter an 'other' value for this selection.

2. Which setting best describes your practice, work or perspective? Select one:

• Hospital or health authority
• Community-based clinic or practice
• Academic or training institution
• Professional association or health system organization
• Health system leadership, policy or quality improvement
• Indigenous health, equity, community health or advocacy organization
• Patient, family or public perspective
• Other, please specify: Please enter an 'other' value for this selection.

3. Which resource did you download or review? Select all that apply:

• Emergency Consent Toolkit
• Informed Consent Toolkit
• Informed Consent Clinical Companion
• Informed Consent Point of Care Guide
• Supporting Informed Consent: An Organizational Action Brief
• Consent for Opportunistic Salpingectomy Guide
• Patient-facing consent handouts

4. Why did you access these resources? Select all that apply:

• For clinical practice
• To share with colleagues or learners
• For education, training or orientation
• To support trauma- and violence-informed, culturally safe or inclusive care
• To improve clinical intake or documentation practices
• For policy, procedure or quality improvement work
• To better understand informed consent in urgent or emergency care
• For patient, family or community education
• General interest
• Other, please specify: Please enter an 'other' value for this selection.

5. Overall, how useful were the resources for your needs? Select one:

• Very useful
• Somewhat useful
• Neutral
• Not very useful
• I have not used them yet

6. Please rate your agreement with the following statements.

Space Cell	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Not Applicable
The resources are clear and easy to understand.	The resources are clear and easy to understand.: Strongly Agree	The resources are clear and easy to understand.: Agree	The resources are clear and easy to understand.: Neutral	The resources are clear and easy to understand.: Disagree	The resources are clear and easy to understand.: Strongly Disagree	The resources are clear and easy to understand.: Not Applicable
The resources are practical for use in clinical care.	The resources are practical for use in clinical care.: Strongly Agree	The resources are practical for use in clinical care.: Agree	The resources are practical for use in clinical care.: Neutral	The resources are practical for use in clinical care.: Disagree	The resources are practical for use in clinical care.: Strongly Disagree	The resources are practical for use in clinical care.: Not Applicable
The resources support trauma- and violence-informed, culturally safe and inclusive care.	The resources support trauma- and violence-informed, culturally safe and inclusive care.: Strongly Agree	The resources support trauma- and violence-informed, culturally safe and inclusive care.: Agree	The resources support trauma- and violence-informed, culturally safe and inclusive care.: Neutral	The resources support trauma- and violence-informed, culturally safe and inclusive care.: Disagree	The resources support trauma- and violence-informed, culturally safe and inclusive care.: Strongly Disagree	The resources support trauma- and violence-informed, culturally safe and inclusive care.: Not Applicable
The resources support respectful, patient-centred conversations.	The resources support respectful, patient-centred conversations.: Strongly Agree	The resources support respectful, patient-centred conversations.: Agree	The resources support respectful, patient-centred conversations.: Neutral	The resources support respectful, patient-centred conversations.: Disagree	The resources support respectful, patient-centred conversations.: Strongly Disagree	The resources support respectful, patient-centred conversations.: Not Applicable
The resources help improve clinical intake, documentation or consent practices.	The resources help improve clinical intake, documentation or consent practices.: Strongly Agree	The resources help improve clinical intake, documentation or consent practices.: Agree	The resources help improve clinical intake, documentation or consent practices.: Neutral	The resources help improve clinical intake, documentation or consent practices.: Disagree	The resources help improve clinical intake, documentation or consent practices.: Strongly Disagree	The resources help improve clinical intake, documentation or consent practices.: Not Applicable
The resources can be adapted for my role, practice or setting.	The resources can be adapted for my role, practice or setting.: Strongly Agree	The resources can be adapted for my role, practice or setting.: Agree	The resources can be adapted for my role, practice or setting.: Neutral	The resources can be adapted for my role, practice or setting.: Disagree	The resources can be adapted for my role, practice or setting.: Strongly Disagree	The resources can be adapted for my role, practice or setting.: Not Applicable

7. How likely are you to use or share these resources? Select one:

• Very likely
• Somewhat likely
• Neutral
• Not very likely
• Not sure yet

8. How do you expect to use or share these resources? Select all that apply.

• Use them in my own practice or setting
• Share them with colleagues, learners or team members
• Use them for education, training or orientation
• Use them to support local policy, procedure, checklist or workflow development
• Use them to support clinical intake, documentation or informed consent practices
• Share them with patients, families or community members
• I do not expect to use or share them
• Not sure yet
• Other, please specify: Please enter an 'other' value for this selection.

9. What, if anything, might make it challenging to use these tools in your setting? Select all that apply:

• Lack of time
• Not integrated into local workflow, policy or documentation systems
• Need for leadership or organizational support
• Need for training or orientation
• Tools are too long or detailed
• Tools do not fully reflect my setting or patient population
• Language, accessibility or format limitations
• Limited ability to adapt tools locally
• Limited access to EMR-ready or digital versions
• Other, please specify: Please enter an 'other' value for this selection.
• I do not anticipate any barriers
• Not sure

10. Are there any specific changes or additions that would make these resources more useful in your role, practice or setting? Select one.

• Yes, please specify: Please enter an 'other' value for this selection.
• No
• Not sure