FLS Coordinators Committee - FLS Resource Request Survey Your Name* 1. Select which pamphlets/factsheets are currently using for patients in your FLS What is an FLS? After your hip fracture After your fracture (all fractures combined) Diagnosis/fracture risk assessment Nutrition Exercise Osteoporosis medications Comprehensive all-in-one osteoporosis information booklet (containing most of the above) Other (please specify) How useful is "What is an FLS?" brochure for you Very useful Somewhat useful Not useful at all How useful is a "After your hip fracture" resource for you Very useful Somewhat useful Not useful at all How useful is an "After the fracture (any fracture)" resource for you Very useful Somewhat useful Not useful at all How useful is a "Diagnosis/fracture risk assessment" resource for you Very useful Somewhat useful Not useful at all How useful is a"Nutrition" resource for you Very useful Somewhat useful Not useful at all How useful is an "Exercise" resource for you Very useful Somewhat useful Not useful at all How useful is an "Osteoporosis Medications" resource for you Very useful Somewhat useful Not useful at all How useful is an "Comprehensive all-in-one osteoporosis information booklet (containing most of the above)" resource for you Very useful Somewhat useful Not useful at all 2. Select which pamphlets/factsheets you are NOT currently using for patients in your FLS What is an FLS? After your hip fracture After your fracture (all fractures combined) Diagnosis/fracture risk assessment Nutrition Exercise Osteoporosis medications Comprehensive all-in-one osteoporosis information booklet (containing most of the above) Other items not listed (please specify) How useful would a "What is an FLS" resource be for you Very useful Somewhat useful Not useful at all How useful would a "After your hip fracture" resource be for you Very useful Somewhat useful Not useful at all How useful would a "After your fracture (any fracture)" resource be for you Very useful Somewhat useful Not useful at all How useful would a "After your fracture (any fracture)" resource be for you Very useful Somewhat useful Not useful at all How useful would a "Diagnosis/fracture risk assessment" resource be for you Very useful Somewhat useful Not useful at all How useful would a"Nutrition" resource be for you Very useful Somewhat useful Not useful at all How useful would an "Exercise" resource be for you Very useful Somewhat useful Not useful at all How useful would an "Osteoporosis Medications" resource be for you Very useful Somewhat useful Not useful at all How useful would a "Comprehensive all-in-one osteoporosis information booklet (containing most of the above)" resource be for you Very useful Somewhat useful Not useful at all 3. Please select 3 documents you feel would be beneficial for OC to develop FIRSTAt our first meeting we discussed how OC should work on a package of standardized FLS brochures that might be used by all/most FLSs in the country. Please select which brochure/factsheet you think we should work on developing first What is an FLS? After your hip fracture After your fracture (all fractures combined) Diagnosis/fracture risk assessment Nutrition Exercise Osteoporosis medications Comprehensive all-in-one osteoporosis information booklet (containing most of the above) 4. Select your top 3 choices of languages frequently encountered in your FLS in which OC should explore translating FLS resources to (aside from English/French) Arabic Chinese -Simplified Chinese - Traditional Punjabi Vietnamese Filipino Hindi Tamil Korean Polish Greek Portuguese Italian Spanish
