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UAB Booklets Online Evaluation Form

1. Are you a person with SCI, family member VR staff MD RN OT PT?
Specify if other area

2. What UAB RRTC SCI booklet are you evaluating?

3. Is the information/content relevant to you?

1 = not at all: 5 = very much 1 2 3 4 5

4. Did you learn something from the information/content?

1 = not at all: 5 = very much 1 2 3 4 5

5. Is the information/content useful in your life?

1 = not at all: 5 = very much 1 2 3 4 5

If useful, please explain in a few words how the information helps you.

6. Is the InfoSheet in a format that is best for you?

1 = not at all: 5 = very much 1 2 3 4 5

7. Why are you looking for information? personal knowledge staff/professional training patient/family education
Specify if other use

8. How many people did you share the information with? 1 - 5 6 - 10 11 - 15 16 - 20 more than 20

9. The UAB RRTC only produces materials on secondary conditions of SCI. Please check the topics that you would like to see more information on in the future:
aging bladder care bowel management caregivers issues heterotopic ossification pain respiratory care sexuality skin care urinary tract infections women's health
Specify if other topic

10. The SCI Email Distribution List allows subscribers to be notified as new and updated information becomes available from the UAB RRTC on Secondary Conditions of Spinal Cord Injury. Would you like to be added to the SCI email distribution list? yes no
If yes your email address is

11. Please feel free to offer comments or suggestions on the information provided.