Have a look through the templates and let your Success PM know which one your team wants to use with their patients. Any of the questionnaires in this section can be adapted to suit your patient cohort.

Key objectives

To use PKB to facilitate remote communication and monitoring with patients.

Outcome measures

To equip patients with a tool to support self-management of their health and well-being, as well as providing a facility to interact digitally rather than relying on a face-to-face consultation.

Current Baselines

All activity is face-to-face, patients are travelling large distances, and their follow-ups aren’t being efficiently, or effectively managed.

Workflow

1. Team: send patient questionnaire

2. PKB: notifies the patient of the questionnaire

3. Patient: completes questionnaire and submits to the team for review

4. PKB: notifies the team, the questionnaire has been completed

5. Team: review in appointments along with other data in the record

Depression Programme Questionnaire Template

Open

About Your Mental Health Questionnaire Template

Open

Further information

• How to capture digital outcome measures in PKB: examples outcome measure questionnaire templates and workflow