Table 1 Content of close-out survey for primary care providers

Q1. Which of the following best describes the outcome of this eConsultation for your patient:

1. I was able to confirm a course of action that I originally had in mind;

2. I got new advice for a new or additional course of action;

3. I did not find the response very useful;

4. None of the above.

Q2. As a result of the eConsultation would you say that:

1. Referral was originally contemplated but now avoided at this stage;

2. Referral was originally contemplated and is still needed – this eConsult likely leads to a more effective visit;

3. Referral was not originally contemplated and is still not needed – this eConsult provided useful feedback/instruction;

4. Referral was not originally contemplated, but eConsult process resulted in a referral being initiated;

5. There was no particular benefit to using eConsult in this case;

6. Other (please explain).

Q3. Please rate the overall value of the eConsult.

Minimal 1 2 3 4 5 Excellent

Q4. Please rate the overall value of the eConsult service in this case for you as a primary care providers.

Minimal 1 2 3 4 5 Excellent

Q5. We would value any additional feedback you provide: