Directions: For the following statements, please check the box that best describes how comfortable you were… | Very uncomfortable | Uncomfortable | Neutral | Comfortable | Very comfortable |
…with this type of device. | □ | □ | □ | □ | □ |
…with the purpose of this type of device. | □ | □ | □ | □ | □ |
…that this device could reliably be used for communication. | □ | □ | □ | □ | □ |
Directions: For the following questions, please check the box that best describes whether you agree/disagree with the following statements | Strongly disagree | Disagree | Neutral | Agree | Strongly agree |
Use of this device reduced my anxiety about my imaging procedure. | □ | □ | □ | □ | □ |
Use of this device improved my overall hospital experience. | □ | □ | □ | □ | □ |
I would request this type of device for my next procedure. | □ | □ | □ | □ | □ |
Communication between myself and the technologist was improved. | □ | □ | □ | □ | □ |
I felt safer with this device than without. | □ | □ | □ | □ | □ |
This device made me feel less alone in the scanner room. | □ | □ | □ | □ | □ |