ICU System Evaluation Survey Form
Please complete the ICU System Evaluation Survey Form to help us understand your experience and identify areas for improvement.
Overall, how satisfied are you with the ICU system?
*
1
2
3
4
5
Please rate the following aspects of the ICU system.
*
Rows
Very Poor
Poor
Average
Good
Excellent
System reliability
1
2
3
4
5
Ease of use
6
7
8
9
10
Speed/performance
11
12
13
14
15
User interface clarity
16
17
18
19
20
Integration with other systems
21
22
23
24
25
How easy was it to learn to use the ICU system?
*
Very difficult
1
2
3
4
Very easy
5
1 is Very difficult, 5 is Very easy
How effective is the training provided for the ICU system?
*
Not effective
1
2
3
4
Very effective
5
1 is Not effective, 5 is Very effective
How well does the ICU system support your daily workflow?
*
Not at all
1
2
3
4
Extremely well
5
1 is Not at all, 5 is Extremely well
Have you encountered any major issues or failures with the ICU system in the past month?
*
Yes
No
How would you rate the technical support for the ICU system?
*
Very poor
1
2
3
4
Excellent
5
1 is Very poor, 5 is Excellent
How confident are you in the data security of the ICU system?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
What is your role in the ICU?
*
Please Select
Nurse
Physician
Respiratory Therapist
Pharmacist
Other
Please share any additional comments or suggestions to improve the ICU system.
Submit Evaluation
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