Submit Your Question to the Bank

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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.

Name *

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Last

Your organization *

Email *

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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.

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.

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.