RANZCOG Participation Evaluation Tool

The aim of this questionnaire is make it easy for you to provide feedback to RANZCOG and us about your experience using SurgicalPerformance.

The completed form can be printed or saved as a pdf and submitted to RANZCOG for CPD hours.

Your Name

First Last

Your name is optional.

Your Email

Your email address is optional. We will use it to send you a copy of your evaluation.

How long have you been using SurgicalPerformance?

Part A: Software Tool Evaluation

What are your desired outcomes from using SurgicalPerformance?

Please rate the following aspects of this software tool

Your outcomes for using SurgicalPerformance have been met?

Strongly disagree	Disagree	Agree	Strongly agree

SurgicalPerformance provides appropriate help and guidance in using the tool

Strongly disagree	Disagree	Agree	Strongly agree

SurgicalPerformance provides an ability to compare your performance with others

Strongly disagree	Disagree	Agree	Strongly agree

SurgicalPerformance provided a useful tool for learning

Strongly disagree	Disagree	Agree	Strongly agree

SurgicalPerformance allows me to understand my own data

Strongly disagree	Disagree	Agree	Strongly agree

What is the most useful aspect of SurgicalPerformance?

What aspect(s) of SurgicalPerformance could be improved?

Would you recommend SurgicalPerformance to others?

Yes

What did you hope to gain through using SurgicalPerformance?

Please rate to what degree your needs were met by using SurgicalPerformance

Not met

Partially met

Entirely met

How will this new learning contribute to your day-today practice?

Will you continue to use SurgicalPerformance to help you understand your outcomes in the future?

Are there any other comments you would like to add?