0% found this document useful (0 votes)
84 views3 pages

Needs Assessment Questionnaire

This needs assessment questionnaire collects information from respondents about their current use of information technologies in their jobs. It asks what computer software, hardware, and telecommunications they use; how they perform data collection and dissemination; any issues they have encountered; the ICT skills of their employees; and potential changes to their current information system. The goal is to evaluate how equipped employees are to utilize computer technologies and identify areas for improvement.

Uploaded by

Jc Salvador
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
84 views3 pages

Needs Assessment Questionnaire

This needs assessment questionnaire collects information from respondents about their current use of information technologies in their jobs. It asks what computer software, hardware, and telecommunications they use; how they perform data collection and dissemination; any issues they have encountered; the ICT skills of their employees; and potential changes to their current information system. The goal is to evaluate how equipped employees are to utilize computer technologies and identify areas for improvement.

Uploaded by

Jc Salvador
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 3

Needs Assessment Questionnaire

Respondent Number:
Name (Optional):_______________________________________Age:______Sex:_______
Position: ______________________________Unit/Department: _____________________
Please answer the questions below:
1. Do you utilize computer technologies to manage information in your job?
Yes
No, go to question #3

2. What specific computer technology/ies do you use to manage information?


Software:
spreadsheet
word processor
Computerized Patient Order Entry (CPOE)
Electronic Medical Record (database)
Others, please specify

Hardware:
desktop computer
laptop
tablet
mobile phone
printer
speaker
Others, please specify

Telecommunications:
Internet connection
Website
Local area network
Intranet
Extranet
Online referral system
Others, please specify

3. How do you perform data processing?

Collection:
Handed-in as a paper document
Document is captured through scanner
Data is encoded through computer keyboard
Data is encoded through mobile devices
Accessed from sources through a computer network

Others, please specify

Dissemination:
Shared as it is (paper document)
Shared as a summary document (hardcopy)
Shared as a file using external storage devices
Shared as a processed data through a computer network
Others, please specify

4. Have you encountered some errors or malfunctions on the use of technologies in your
job?
Yes
No

If Yes, what were the nature of the error/s?

Corrupted files
Virus
Inconsistent records
Others, please specify
________________________________________________________________

5. How many of your employees are capable of using ICT equipment. Please give the
percentage:
________________________________________________________________

6. Do you think it is important to have basic skills on the use of computer technologies?

Yes
No

7. If you could make changes/enhancements to your current information system, what


would they be?
Updated computer operating system
Electronic Health record(*complied patient history, including clinical or lab results,
as well as medications and allergies)
Computerized Patient Order Entry ( for ordering diagnosis tests and medications)
Clinical Decision Support (for automatic alerts of medication allergies and
treatment risks, and other clinical risks)
Data analytics (for automated census)
Automated clearance and billing
Automated scheduling of clinical tasks
Others, please specify

Signature of Respondent Date

You might also like