Care Delivery Software Evaluation Form
Use this form to provide structured feedback on care delivery software. Please complete all sections to help us assess the software's strengths and areas for improvement.
Your Name
*
First Name
Last Name
Organization
*
Software Name
*
Role in Evaluation
*
Please Select
Administrator
Clinician
IT/Technical Staff
Operations
Other
Overall Satisfaction Rating
*
1
2
3
4
5
Feature and Performance Evaluation
*
Rows
Poor
Fair
Good
Very Good
Excellent
Ease of Use
1
2
3
4
5
Feature Set
6
7
8
9
10
Performance/Reliability
11
12
13
14
15
Integration Capabilities
16
17
18
19
20
Customer Support
21
22
23
24
25
What are the software's greatest strengths?
What areas could be improved?
Would you recommend this software to others?
*
Yes
No
Not Sure
Additional Comments or Suggestions
Submit Evaluation
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