Dermatology Questionnaire Templates

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.

PEST (Psoriasis Epidemiology Screening Tools) questionnaires

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 wellbeing, as well as providing a facility to interact digitally rather than relying on a face to face questionnaires.

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 questionnaires

  2. PKB: notifies the patient of the questionnaires

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

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

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

PEST questionnaires Template

Dermatology Quality of Life Index questionnaires

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 wellbeing, as well as providing a facility to interact digitally rather than relying on a face to face questionnaires.

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 questionnaires

  2. PKB: notifies the patient of the questionnaires

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

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

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

Dermatology Quality of Life Index Template