Testing of: NHAMCS, NAMCS, 2010 "Itsinourhands" web site, 2010 CFU, 2010 ACS, and 2010 Mailout Materials

Generic Clearence for Questionnaire Pretesting Research

NAMCS2enc2

Testing of: NHAMCS, NAMCS, 2010 "Itsinourhands" web site, 2010 CFU, 2010 ACS, and 2010 Mailout Materials

OMB: 0607-0725

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Lipoprotein Cholesterol and Glucose Values Draft Debriefing Questionnaire for the

National Ambulatory Medical Care Survey (NAMCS)


INTRODUCTION


Thank you for participating in the Lipoprotein Cholesterol and Glucose Laboratory Values Pilot Test. We would like to get your feedback on the accessibility and practicality of obtaining these values from physicians in office-based settings. These values are essential to the understanding of risk factor identification and control before cardiovascular disease.



  1. Were the instructions clear?


1 Yes

2 No (Please explain):_____________________________________________


  1. Was it clear which test we were interested in, based on the text in the “Lab test” column (e.g., do any of the tests go by multiple names?)


1 Yes

2 No (Please explain):____________________________________________


  1. In the “Value” column, did it help to have “mg/dl” and “% of Hb” or did this confuse the issue?


1 Yes

2 No (Please explain):____________________________________________


  1. Were you able to determine fairly easily the date tests were reported in the medical record?


1 Yes

2 No (Please explain):____________________________________________


  1. Was it clear from the instructions that it was acceptable to leave some of the test values blank if they had never been collected or had not been reported in the last 12 months, while still reporting other lab values if they had been collected in last 12 months?


1 Yes

2 No (Please explain):_____________________________________________


  1. How long did it take you to answer these series of questions for one patient visit? ______________.


  1. How long would it take you to record this information for a sample of 30 visits? ______________.


  1. Do you have any additional questions or comments?

________________________________________________________________________________________________________________________________________




This concludes our debriefing questionnaire. On behalf of the Centers for Disease Control and Prevention, we would like to thank you for your participation. Thank you again.


File Typeapplication/msword
File TitleNATIONAL AMBULATORY MEDICAL CARE SURVEY (NAMCS)
AuthorBYNUM002
Last Modified ByBureau Of The Census
File Modified2008-07-23
File Created2008-07-23

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