Improving Access to Specialist Care: Training Needs Assessment

*Please provide your first and last name.

*Please provide your email address.

*Do you use a desktop or laptop? If yes, please advise which type.

*Please indicate the primary health zone where you practice/work:

*What operating system are you using?

If Windows, what version?

*Do you use a tablet?

*What browser do you typically use?

*Do you use an Electronic Medical Record (EMR)? If yes, please provide name of EMR you use.

*How often do you access the Electronic Health Record (EHR) portal?

*What is your preferred training channel? (select all that apply)

*What are the best days for training? Select all that apply.

*What are your preferred training supports? (select all that apply)

*Are there any black-out dates that training cannot be conducted?

*What hours are you available for training? After-hours, evenings, early mornings?

*Do you anticipate working with the eReferral solution to manage referrals after normal business hours?

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