CDC/CLSI Point-of-Care Fingerstick Glucose Testing Surve

Improving the Impact of Laboratory Practice Guidelines: A New Paradigm for Metrics- Clinical and Laboratory Standards Institute

Appendix C Survey_Merged_Screenshots3-27-15

CDC/CLSI POC Fingerstick Glucose Testing Survey (FGS 1-3)

OMB: 0920-1088

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Appendix C

Survey intro page for first survey.

Skip pattern: If answer to Q2 is No or I do not know,
then go to the end of survey. These respondents will be
informed that they are not eligible for a free document.

Skip pattern: If answer to Q3 is No, then go to Q20.

Skip pattern: If answer to Q7 is No, then go to
Q14.

Skip pattern: If answer to Q8 is No, then go to
Q20.

Skip pattern: After responding to Q13, go to Q20.

Skip pattern: If answer to Q14 is No, then go to Q20.

Skip pattern: If answer to Q28 is hospital based site, then go to Q29. All
others go to end of survey.

Question 30 is for the third survey only.

Respondents who answer No or I do not know to Question 2 will see the
following text:
Thank you for taking the time to begin the survey. Unfortunately, since you do
not perform glucose testing at your facility, you are not eligible for the free CLSI
document.

Closing page for first survey.


File Typeapplication/pdf
AuthorDave Sterry
File Modified2015-05-06
File Created2015-03-27

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