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Survey – FLS Coordinators Committee
Survey
Your Name
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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 FIRST
At 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
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