Q01
메시지
모든 템플릿
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.
샘플 질문
템플릿에 포함된 내용을 미리 확인해 보세요. 모든 질문은 설문 공개 전에 자유롭게 수정할 수 있습니다.
질문 12개 · 약 7분
Q02
객관식필수
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
의견 척도필수
Before the assessment began, how clearly was its purpose explained to you?
척도: 1 – 5
최소:Not explained at all최대:Explained extremely clearly
Q04
매트릭스필수
Thinking about how the assessment itself was carried out, how much do you agree with each statement?
5개 행 × 5개 열
- 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
열: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q05
평점 척도필수
Overall, how would you rate the way you (or your family member) were treated during the assessment?
범위: 1 – 5
최소:Very poor최대:Excellent
Q06
객관식필수
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
의견 척도필수
How confident are you that the final decision reflected the person's own wishes and values?
척도: 1 – 7
최소:Not at all confident최대:Extremely confident
Q08
AI 인터뷰
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
장문형
Is there anything the assessment team could have done differently to make this process feel fairer or clearer?
Q10
객관식
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
객관식
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
메시지
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.
포함된 기능
AI 후속 질문
정형화된 설문이 놓치는 세부 내용을, 주관식 답변에 맞춰 AI가 심층 질문으로 끌어냅니다.
주의력 확인 장치
성의 없는 답변과 저품질 응답자를 걸러내는 내장 안전장치입니다.
AI가 작성한 문안
문구, 질문 순서, 분기 로직까지 AI가 연구 목표에 맞춰 작성합니다.
자동 리포트
응답이 모이면 주요 주제, 인용문, 이해하기 쉬운 요약이 자동으로 작성됩니다.
다른 서비스와 비교
다른 설문 도구의 가장 유사한 템플릿을 검토했습니다. 그 도구들이 잘하는 점과, 이 템플릿이 한발 더 나아가는 지점을 정리했습니다.
이 템플릿을 선택하는 이유
- 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.
잘하는 점
- 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
아쉬운 점
- 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.
잘하는 점
- Polished conversational UI that Typeform is known for
- Fielding-ready template requiring minimal setup
- Logic jumps can tailor question order based on prior answers
아쉬운 점
- 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
설문을 공개할 준비가 되셨나요?
이 템플릿을 편집기에서 열어 보세요. 첫 응답자가 보기 전에 모든 부분을 원하는 대로 바꿀 수 있습니다.