Evaluation Template for the Service Provider Resource Guide (SPRG)

Please take a moment to fill out this evaluation form as your comments are very valuable to us. Your feedback will help us strengthen the usability and update of this resource.



Organizational Affiliation:

Public Health Care

Private Health Care
University/Academic Setting
Non-Profit Advocacy

City:

Province:


Profession:

Nurse
Social Worker
Administrator
Educator
Govenment Employee

Caregiver
Student
Other


Rate the overall ease of using the SPRG:

Very Easy

Somewhat Easy

Somewhat Difficult

Very Difficult


Rate the ease of using the Assessment Section of the SPRG:

Very Easy

Somewhat Easy

Somewhat Difficult

Very Difficult

Not Applicable


Rate the ease of using the Intervention Section of the SPRG:

Very Easy

Somewhat Easy

Somewhat Difficult

Very Difficult

Not Applicable


Rate the ease of using the Ongoing Issues in Case Management Section of the SPRG:

Very Easy

Somewhat Easy

Somewhat Difficult

Very Difficult

Not Applicable


Rate the ease of using the Provincial and Federal Resource Directories of the SPRG:

Very Easy

Somewhat Easy

Somewhat Difficult

Very Difficult

Not Applicable


What would make the SPRG easier to use?


Rate the relevancy of the Assessment Section of the SPRG:

Very Relevant

Somewhat Relevant

Somewhat Irrelevant

Not Relevant at All

Not Applicable


Rate the relevancy of the Intervention Section of the SPRG:

Very Relevant

Somewhat Relevant

Somewhat Irrelevant

Not Relevant at All

Not Applicable


Rate the relevancy of the Ongoing Case Management Section of the SPRG:

Very Relevant

Somewhat Relevant

Somewhat Irrelevant

Not Relevant at All

Not Applicable


Rate the Relevancy of the Federal and Provincial Resource Directories of the SPRG:

Very Relevant

Somewhat Relevant

Somewhat Irrelevant

Not Relevant at All

Not Applicable


What would increase the relevancy of each section?


If used in conjunction with the CGPL, please rank the usefulness of to identify potential negative effects of a policy or program:

Very Useful

Somewhat Useful

Somewhat Useless

Completely Useless

Not Applicable


Rate the ability of the SPRG to promote caregivers of older adults in your organization/setting:

Very Useful

Somewhat Useful

Somewhat Useless

Completely Useless

Not Applicable


Rate the ability of the SPRG to promote caregivers of older adults in other organization/setting:

Very Useful

Somewhat Useful

Somewhat Useless

Completely Useless

Not Applicable


Rate your knowledge increase regarding caregivers of older adults after using the SPRG:

Significant Increase

Moderate Increase

Small Increase

No Increase


Please describe the main value you received from using the SPRG:


Please describe any changes you and/or your organization will undertake as a result of using the SPRG:


Will you continue to use the SPRG? Why or why not?


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