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If you would like questions from your evaluation project or survey to be included in the question bank so others can use it, please fill out this form. You can use this form to submit multiple questions as long as they are from the same survey or evaluation.

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Your Project

Please tell us a little about your project such as the name, the Bree Guideline topic your question is associated with, or any other information you feel is important to share. BREE GUIDELINES LIST: Obstetrics Care, Cardiology: Appropriateness of Percutaneous Coronary Interventions, Spine/Low Back Pain, Addiction and Dependence Treatment, End-of-Life Care, Potentially Avoidable Hospital Readmissions, Oncology Care: Early Treatment, Prostate Cancer Screening, Coronary Artery Bypass Graft Surgical Warranty, Behavioral Health Integration, Opioid Use Disorder Treatment, Pediatric Psychotropic Use, Warranty for Bariatric Surgery, Alzheimer’s Disease and Other Dementias, Hysterectomy, Dental Opioid Prescribing, Total Knee and Total Hip Replacement bundle, Collaborative Care for Chronic Pain, LGBTQ Health Care, Suicide Care, Lumbar Fusion Bundle and Warranty, Opioid Prescribing: Long-Term Opioid Therapy, Post Operative Opioid Prescribing, Palliative Care, Risk of Violence towards others, Shared Decision Making, Colorectal Cancer Screening, Oncology Care Inpatient Services, Primary Care, Sexual and Reproductive Health, Cervical Cancer Screening, Telehealth, Perinatal Bundled Payment Model, Opioid Prescribing in Older Adults, Outpatient Infection Control, Hepatitis C, Pediatric Asthma

Question Bank Category *

Example: Cost Questions, Knowledge Factor Questions

Your Question *

Please provide the text of the question and note any introductions to the question or formatting that is relevant to question validity.

Answer Options

Example: Yes/no, Strongly Disagree to Strongly Agree, etc.

Format

Example: single select, multiple select, ranked item, text, etc.

Scale or measurement

Example: coded concept, 1-5, likert, etc.

Audience

Example: CEO's, hospital staff, Nurses, etc.

File Upload

Click or drag files to this area to upload. You can upload up to 3 files.

If you would like to provide us with a copy of the survey tool you used, please upload here. We will not share the entire tool, only the questions you have identified in the form above.