Appendix 2 : Post Data Collection Questionnaire,Individual Dr / Site Report Questionnaire

Page last updated: 25 September 2012

NADC - ANDIAB
Australian National Diabetes Information Audit & Benchmarking



Final Report
ANDIAB 2011
[November 2011]



NADC – ANDIAB 2011

[Australian National Diabetes Information Audit & Benchmarking 2011]

Post Data Collection Questionnaire

Thankyou for completing the data collection phase of the project. We would now greatly appreciate your anonymous comments to the following brief questionnaire. Please mark your response to each question on the 1 - 5 ‘Lickert’ Scale or circle N/A [Not Applicable].

I / We Used: Paper Forms / Our Own Database


[A] Please comment on the ‘How to fill in ANDIAB Forms’ information package / letters you received about the data collection project :

N/A
[1] Poor / Insufficient [5] Excellent / Fully Explained

Information Package / Letters
Re Adult
1___________________________________5

Comments:
_____________________________________________________________________________
_____________________________________________________________________________

Top of page
[B] Please comment on the data definitions forms [Adult - Paediatric/Adolescent] :

N/A
[1] Unclear / Confusing [5] Clear / Concise

Data Definitions Forms
Re Adult
1___________________________________5
Comments:


[C] Please comment on the following aspects of the Data Collection Forms :
[C1] Format (layout of data items) [1] Unclear / Confusing [5] Clear / Concise
Re Adult
1___________________________________5

Comments:
_____________________________________________________________________________
_____________________________________________________________________________
[C2] Ease of completion [1] Difficult [5] Easy
Re Adult
1___________________________________5

[C3] Time to complete the form
Re Adult

[1] Took Too Long [5] Time Not Excessive
1___________________________________5
Comments: ___________________________________________________________________
_____________________________________________________________________________

[D] Please list any Data Items you feel should have ALSO been collected.
Re Adult

_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

[E] Please list any Data Items you feel should NOT have been collected.
Re Adult
_____________________________________________________________________________
_____________________________________________________________________________
____________________________________________________________________________

Top of page
[F] Any other comments : ______________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Thankyou for taking the time to complete this questionnaire.
Please post to: Ms Vicky Holland
Administration Officer
NADC National Office
PO Box 163
Woden ACT 2606