Focus Groups on TeamSTEPPS® for Long-Term Care Curriculum

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Appendix C - Focus Group Feedback Sheet

Focus Groups on TeamSTEPPS® for Long-Term Care Curriculum

OMB: 0935-0179

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Agency for Healthcare Research and Quality

TeamSTEPPS® for Long-Term Care

Focus Group Feedback Sheet


Thank you for your participation in today’s session, your input is invaluable in helping us create the best possible product. Please take a few minutes to answer the following questions before you leave:



  1. Did you have any other input that wasn’t covered during the session? Think of the language used, the scenarios presented, and any other factors that may have helped or hurt your understanding of the curriculum.


















  1. Were there any specific words or terms that stood out to you as unusual, difficult to understand, or incorrect for the long-term care setting based on your experience? Please list any problematic language (and offer an alternative, as appropriate).

















  1. How useful did you find the information presented to you today? On a scale of 1 to 5, with 1 being not useful at all and 5 being incredibly useful, where would you rank the tools and information you learned?




















  1. Do you have any recommendations to improve the TeamSTEPPS for Long-Term Care curriculum, based on your feedback above or generally?

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