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Home
El Paso
School of Medicine
Asthma
Asthma
Evaluation on Multi-colored Simplified Asthma Guideline Reminder (MSAGR)
Please provide the following information and answer the questions.
MASGR Evaluation
Name
Organization
Email
Age
Years in Practice
Title
MD
DO
PA
LNP
Specialty
PD
IM
FP
ER
OB/GYN
Allergy
Pulmonary
Other
5 = Strongly Agree ------------- 1 = Strongly Disagree
1) Do you agree that the MSAGR helps you to classify your patient's asthma severity promptly?
5
4
3
2
1
2) Do you agree that the MSAGR reminds you to inquire of various possible asthma triggers on your asthmatic patients?
5
4
3
2
1
3) Do you agree that the MSAGR helps you to follow Step Therapy Based on Asthma Severity?
5
4
3
2
1
4) Do you agree that the MSAGR reminds you to prescribe the recommended dosages of inhaled steroid for different severity of asthma?
5
4
3
2
1
5) Do you agree that the MSAGR reminds you to educate your patient on inflammatory nature of asthma?
5
4
3
2
1
6) Do you agree that the MSAGR reminds you to teach your patient on Peak Flow Meter, inhaler technique, & to provide asthma action plan?
5
4
3
2
1
7) Do you agree that the MSAGR can enhance your adherence to asthma guidelines in your practice?
5
4
3
2
1
8) Do you agree that the MSAGR should be disseminated to all clinicians in the trenches?
5
4
3
2
1
9) Your comments are appreciated: Best/Worst Features, Improvements, Suggestions
Let's help our patients to achieve better control of their asthma.