Q01
メッセージ
すべてのテンプレートHealthcare & Clinical
Mental Capacity Assessment Process Experience Survey
Captures how patients, family members, and care partners experienced a mental capacity assessment — clarity of communication, respect shown, and involvement in the final decision. Built for healthcare and social care teams reviewing how well their assessment process meets legal and ethical standards, with an AI follow-up interview that digs into what made the process feel fair, respectful, or confusing.
設問の例
テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。
全12問・約7分
Q02
選択式必須
Which best describes your role in this mental capacity assessment?
- The person who was assessed
- Family member or friend of the person assessed
- Professional carer or support worker
- Healthcare or social care staff involved in the assessment
- Other
Q03
オピニオンスケール必須
Before the assessment began, how clearly was its purpose explained to you?
スケール: 1 – 5
最小:Not explained at all最大:Explained extremely clearly
Q04
マトリクス必須
Thinking about how the assessment itself was carried out, how much do you agree with each statement?
5行 × 5列
- I (or the person assessed) was given enough time to express my views
- Plain, jargon-free language was used
- I had a genuine opportunity to ask questions
- Family members or supporters were appropriately involved
- My privacy and dignity were respected throughout
列: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
評価スケール必須
Overall, how would you rate the way you (or your family member) were treated during the assessment?
範囲: 1 – 5
最小:Very poor最大:Excellent
Q06
選択式必須
Was the outcome of the assessment, and the reasoning behind it, explained afterward?
- Yes, fully explained
- Partly explained
- Not explained
- I don't know / not applicable
Q07
オピニオンスケール必須
How confident are you that the final decision reflected the person's own wishes and values?
スケール: 1 – 7
最小:Not at all confident最大:Extremely confident
Q08
AIインタビュー
Explore the respondent's confidence rating about whether the decision reflected the person's own wishes and values. Ask for a specific moment or exchange during the assessment that shaped that view — what the assessor said or did, and how it landed. If the outcome wasn't fully explained, probe what information they still feel is missing. If the respondent was the person assessed themselves, gently ask how it felt to be asked about their own decision-making capacity, and note any distress without pressing further if they seem uncomfortable.
Q09
自由回答（長文）
Is there anything the assessment team could have done differently to make this process feel fairer or clearer?
Q10
選択式
Which setting did the assessment take place in?
- Hospital
- Care home or residential setting
- Person's own home
- Community clinic
- Other
- Prefer not to say
Q11
選択式
What is your age range?
- Under 18
- 18-24
- 25-34
- 35-44
- 45-54
- 55-64
- 65-74
- 75 or older
- Prefer not to say
Q12
メッセージ
That's everything — thank you for sharing your experience. Your responses will be combined with others (anonymously) to help the team improve how mental capacity assessments are explained and carried out.
含まれる機能
AIによる深掘り
自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。
注意確認設問
急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。
AIが作成する設問文
文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。
自動レポート
回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。
他ツールとの比較
ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。
このテンプレートを選ぶ理由
- Includes a dedicated opinion-scale question on how clearly the assessment's purpose was explained, plus a matrix set on how the assessment itself was carried out — giving structured, comparable data on communication and conduct
- Pairs a numeric confidence rating ('how confident are you the final decision reflected the person's own wishes') with an AI follow-up interview that actively explores the reasoning behind that rating, surfacing nuance a static scale alone would miss
- Captures respondent role (patient, family member, care partner), assessment setting, and age range, so results can be segmented by who experienced the process and where
- Closes with an open long-text question inviting suggestions for what could have been done differently, giving qualitative detail behind the quantitative ratings
Jotform
Mental Capacity Assessment Form TemplateA static, drag-and-drop form template for recording mental capacity assessment details, aimed more at documentation than at capturing the respondent's subjective experience. It's fielding-ready but relies on fixed fields rather than any adaptive questioning. Good for internal record-keeping, less suited to exploring how the process felt to patients or families.
優れている点
- Easy drag-and-drop customization typical of Jotform's builder
- Fielding-ready template with standard form fields
- Likely supports PDF export and integrations common to Jotform forms
物足りない点
- No adaptive AI follow-up interview to probe why a rating was given
- No voice AI interview option
- No automated per-response quality scoring or transparent prompt methodology
Typeform
Mental Capacity Assessment Form TemplateA conversational, one-question-at-a-time template that likely offers a more engaging respondent experience than a flat form. It's fielding-ready out of the box but still relies on pre-written, static questions rather than any dynamic follow-up. Reporting is generally basic dashboard-style analytics rather than narrative reports.
優れている点
- Polished conversational UI that Typeform is known for
- Fielding-ready template requiring minimal setup
- Logic jumps can tailor question order based on prior answers
物足りない点
- No adaptive AI interview that generates follow-up questions based on a respondent's specific answer
- No voice-based AI interview capability
- No automated quality scoring of open-ended responses or published prompt transparency
よくあるご質問
「Mental Capacity Assessment Process Experience Survey」テンプレートにはどのような設問が含まれていますか？
すぐに使える設問が12問含まれており、最初の設問は次のとおりです：「Thank you for taking part. This short survey asks about your experience of a mental capacity assessment — either your ow…」・「Which best describes your role in this mental capacity assessment?」・「Before the assessment began, how clearly was its purpose explained to you?」。すべての設問は上でプレビューでき、自由に編集できます。
このアンケートの回答にはどのくらい時間がかかりますか？
回答者は通常、12問を約7分で回答し終えます。
テンプレートは編集できますか？
はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。
このテンプレートは無料で使えますか？
はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。
公開の準備はできましたか？
このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。
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