EUSCREEN Paediatric Screening Questionnaire EUSCREEN Paediatric Screening Questionnaire Dear Colleagues, The questionnaire has 9 domains: Demography and Epidemiology; Administration and General background; Existing screening systems; Coverage/Attendance; Tests; Follow-up and Diagnosis; Treatment availability; Cost and Benefit and Adverse effects. Each domain is separated in General Screening, Vision Screening and Hearing Screening questions. Please answer the questions of your expertise and if possible also the General Screening questions. When you are logged in you can ''Save draft'' at the end of each domain, which will transport the answers to the database. ALWAYS ''SAVE DRAFT'' when you temporarily stop filling out the questionnaire, OTHERWISE YOUR ANSWERS WILL NOT BE SAVED! You can finish the questionnaire later and correct the answers you have given earlier. Only SUBMIT the form (on the last page) when you are completely ready. If you have any questions please send an email to euscreen2020@gmail.com. Thank you very much for your cooperation! 0% Complete1 of 10 Date * Last name * First name * Affiliation and Department of Institute * (Please provide exact affiliation for publication) Country * Region Email * Phone * What is your profession? * What is your role in screening? * How many years have you been working or otherwise been involved in screening? * Do you perform general or vision or hearing screening yourself? If yes, please specify No Yes Do you supervise vision or hearing screening? If yes, please specify No Yes Do you follow up children after screening? If yes, please specify No Yes Are you involved in organizing screening ? If yes, please specify No Yes Are you reporting data for the whole country or a specific area? National Regional Local (sub-regional) Other If national data differ from regional data and you are well informed about the differences, you will need to fill out two forms, or two Country Representatives have to fill out two forms. For instance, in the United Kingdom four Country Representatives may be needed to fill out four forms for Northern Ireland, Scotland, Wales and England. If you fill out the questionnaire for a region, it is tacitly assumed that all answers apply to the selected region. Otherwise it should be explicitly mentioned. For instance, mortality rate is usually reported per country. Please specify which region at "Other". Next
