Health Workforce Digital Skills Evaluation Form
Please fill out this form to evaluate your digital skills relevant to the health workforce.
Full Name
First Name
Last Name
Email Address
example@example.com
Please rate your proficiency in Electronic Health Records (EHR) management.
1
1
2
3
4
Best
5
1 is , 5 is Best
Please rate your proficiency in Telehealth technologies.
2
1
2
3
4
Best
5
1 is , 5 is Best
Please rate your proficiency in Data Privacy and Security practices.
3
1
2
3
4
Best
5
1 is , 5 is Best
Please rate your proficiency in Health Information Systems.
4
1
2
3
4
Best
5
1 is , 5 is Best
Please rate your proficiency in Mobile Health Applications.
5
1
2
3
4
Best
5
1 is , 5 is Best
Additional Comments or Suggestions
Submit
Should be Empty: