At what time periods do you collect information? (check as many
Admission to program
Discharge from program
Follow-up post disharge
Who rates outcome measures at your facility/organization? (check
as many as apply)
What is the information used for?
What outcome scale(s) does your facility/organization use?
What scale(s) do you use that you think are inadequate?
Which assessment/outcome measures do you feel are useful?
Which additional scale(s) would you like to see featured in the
Do you have a measure which you think should be considered for
inclusion in the COMBI? If so, please include some information about