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Distribution Dates:

Date Survey Completed:

Number of Facilities in the Distribution Zone:Number of Facilities Visited: 

 

Of the facilities you visited this month, for how many were you able to enter all the distribution data directly on the tablet while you were at the facility?

  •  All the facilities
  •  Most of the facilities
  •  About half of the facilities
  •  Less than half
  •  None

 

If you were not able to enter the distribution data directly on the tablet, what prevented you from doing so: 

  •  Tablet was out of battery  -- is "out of battery" how they phrase this problem, or should it be something like  "The tablet needed to be recharged." ??
  •  Website wasn’t working  -- entering data on the tablet is not be dependent on the website working – they will be in offline mode.   Should this question be:   "The distribution wasn't cached on the tablet." ??
  •  battery  
  •  I wasn't able to open the internet/web-browser
  •  The TP-LINK/router didn't work
  •  I was able to get to the website, but then I didn't see my distribution 
  •  I was able to get to the website and see the distribution, but then was unable to enter data
  •  Not enough time to use the tablet
  •  The tablet was too hard to use
  •  Other problem with the tablet: ____________________

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If you were not able to enter the distribution data directly on the tablet, how did you collect the facility visit information:

  •  All on the paper paper DLS form
  •  Some on the tablet, and some on the paper DLS form
  •  Some on the tablet, and some some on an extra piece of paper
  •  Other: ___________

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While on distribution, how often were you able to synchronize the distribution data that was entered on the tablet:

  •  Every day
  •  About every other day
  •  Once or twice while out on a distribution
  •  I synchronized when I got back to the provincial office
  •  I didn't enter any data on the tablet

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If you didn’t synchronize every day, why?

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Did the tablet ever run out of battery?     "...out of charge?"

  •  Yes
  •  No

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The facility visits took more time while using the tablet – see below.

  •  Yes
  •  No

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How much longer did it take you to use the tablet versus writing the information on the paper DLS form:  – this question presumse de facto that the tablet will take more time.   This AND the preceding question should be presented as shown in blue below...

  •  About an hour more
  •  About 30 minutes more
  •  About 15 minute more
  •  About 10 minutes more
  •  About 5 minutes more

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How   Yes

  •  No

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How does the tablet compare with the paper DLS form in terms of how much time in takes you to collect data for a facility?

  •  It takes 20-about 30 minutes or more less to collect the data with the tablet
  •  It takes 10-about 15 minutes less to collect the data with the tablet
  •  Using the tablet or the paper DLS form take roughly the same amount of time to collect the data
  •  It takes 10-about 15 minutes longer to collect the data with the tablet
  •  It takes 20-20 30 minutes or more longer to collect the data with the tablet
  •  Other: ______________________________

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The best things about using the tablet are:

1.

2.

3.

 

The most difficult things about using the tablet are:

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Now that I’ve tried using the tablettablet, my preference would be to:

  •  Keep using the tablet
  •  Go back to writing the data on paper DLS form and then entering it on the computer later

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