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Tuesday, 07 September 2010
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Home
Surveys
PEMS Protocol Book Survey
PEMS Regional Protocol Book Survey
What is your current EMS certification?
--Please select--
First Responder
EMT-Basic
EMT-Intermediate
EMT-Paramedic
How long have you been a provider in the PEMS region?
--Please select--
1 year
1-5 years
6-10 years
11-15 years
16-20 years
21 years
Have you been an EMS provider in another region?
--Please select--
Yes
No
Where?
--Please select--
Blue Ridge
Central Shenandoah
Lord Fairfax
Northern Virginia
Old Dominion
Rappahannock
Southwest Virginia
Thomas Jefferson
Tidewater
Western Virginia
Do you have a personal PEMS Protocol Book?
--Please select--
Yes
No
Do you carry your personal PEMS Protocol Book with you on the ambulance?
--Please select--
Yes
No
How often do you refer to your PEMS Protocol Book?
--Please select--
Often
Occasionally
Rarely
Never
Have you used a protocol book with a Flow Chart layout such as the TEMS or ACLS Layout?
--Please select--
Yes
No
If so, was that method effective?
--Please select--
Yes
No
Do you prefer the current protocol layout or the Flow Chart Layout?
--Please select--
Current layout
Flow chart layout
Combination
Why?
Please grade the following 1 through 5, 1 being Strongly Agree, 5 being Strongly Disagree.
Do you think the PEMS Protocol Book is easy to read?
Do you think the PEMS Protocol Book has clear, concise guidelines?
--Please select--
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Do you like the sections separated by color?
--Please select--
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
--Please select--
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Do you like the Skills Section?
--Please select--
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
--Please select--
Yes
No
Do you or have you used the Skills Section?
Please write a response
What do you like most about the PEMS Protocol Book?
What do you like least?
Do you have any suggestions on the layout, content, or design of the PEMS Protocol Book?
Thank you for participating in the PEMS Regional Protocol Book Survey
Have you used an electronic version of the PEMS Protocol Book?
--Please select--
Yes
No
If so, which version do you prefer?
--Please select--
Hard copy
Electronic