redcap.childrenscolorado.org
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https://redcap.childrenscolorado.org/surveys/?s=4EUGpsuXFUSLFQfF
Submission: On October 05 via manual from US — Scanned from DE
Submission: On October 05 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
Name: form — POST /surveys/index.php?s=4EUGpsuXFUSLFQfF
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<div data-mlm-field="intro1" data-mlm-type="label"> <u>Section 1: Access</u><br>
<br> These first questions relate to your experience with <u>ACCESS</u> to services for your patients at the Colorado Fetal Care Center.
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</form>Text Content
The code block below illustrates how one might use # and // as comments in your logic and calculations. # Text can be put here to explain what the logic/calculation does and why. if ([field1] = '1' and [field2] > 7, // This comment can explain what the next line does. [score] * [factor], // Return '0' if the condition is False. 0 ) Working... 0% means 50% means 100% means This value you provided is not a number. Please try again. This value you provided is not an integer. Please try again. The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again. The value you provided must be within the suggested range The value you provided is outside the suggested range This value is admissible, but you may wish to double check it. The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19). This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now. This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now. This field must be a valid email address (like joe@user.com). Please re-enter it now. The value you provided could not be validated because it does not follow the expected format. Please try again. Required format: 4StmSrURqdPXohFknmHMai2XJrHQeTmopVGCUdJzztRXvnwnorDjUtuYgG8RAS86ZFyh8NLVcxrw9JdaVEnn6VpVSI5VIXDIUdWkiUXEVZ2rSVfAiUfewd8Db4ZADt3 2023 COLORADO FETAL CARE CENTER REFERRING PROVIDER SURVEY A A A Thank you for your valued partnership. We would appreciate feedback about your referral experience with the Colorado Fetal Care Center by completing this 3-5 minute survey. This information will be used to continue to improve how we partner and communicate with you and your team to provide the highest quality care for your patients. Page 1 of 11 Cannot select choice! The maximum number of choices has been selected.Value removed! Loading... Section 1: Access These first questions relate to your experience with ACCESS to services for your patients at the Colorado Fetal Care Center. Have you referred a patient to the Colorado Fetal Care Center in the last 12 months? Yes No reset Next Page >> Save & Return Later YOU HAVE SELECTED AN OPTION THAT TRIGGERS THIS SURVEY TO END RIGHT NOW. To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button. Powered by REDCap