Clinical Department Naming Form
Use this form to propose and evaluate names for a clinical department. Please provide your suggestions and feedback below.
Your Name
*
First Name
Last Name
Proposed Department Name (Option 1)
*
Proposed Department Name (Option 2)
*
Proposed Department Name (Option 3)
Briefly explain the reasoning or inspiration behind your name proposals.
*
Which proposed name do you prefer most?
*
Option 1
Option 2
Option 3
How well does each name option fit a clinical setting?
*
Rows
Excellent
Good
Average
Poor
Option 1
1
2
3
4
Option 2
5
6
7
8
Option 3
9
10
11
12
Please rate the distinctiveness of each name option.
*
Rows
5 - Very Distinctive
4
3
2
1 - Not Distinctive
Option 1
13
14
15
16
17
Option 2
18
19
20
21
22
Option 3
23
24
25
26
27
How easy is each name to pronounce?
*
Rows
Very Easy
Somewhat Easy
Neutral
Somewhat Difficult
Very Difficult
Option 1
28
29
30
31
32
Option 2
33
34
35
36
37
Option 3
38
39
40
41
42
Additional comments or suggestions about the department names
Submit
Should be Empty: