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Exit Survey
 
 
Patient Navigator Programs Part 1. Characteristics
 
 
 
When did your Patient Navigation program begin? (If you don't know the day, enter 15; if you don't know the month, enter June.)
 
MonthDayYear
  
 
 
 
How did your Patient Navigation program begin? (Who, why, etc.)
   
 
 
 
What type of Navigators do you have at your facility/clinic (Select all that apply)?
 
Nurse navigator
 
Social worker navigator
 
Community health worker
 
Lay navigator
 
Peer navigator
 
Other
 

 
 
 
What qualifications do your Patient Navigators need to have to be hired by your facility (e.g., competencies, educational credentials, skills training, or background)?
   
 
 
 
How many Patient Navigators does your program have?
   
 
 
 
Approximately how many patients/clients does each Navigator assist per month?
   
 
 
 
How many new patients/clients does a Navigator see in a given month?
   
 
 
 
What type of professional support do Navigators receive at your clinic/facility to support their role? (Select all that apply)?
 
Initial training
 
Ongoing training
 
Administrative support
 
Medical/nurse leadership
 
Physician oversight
 
Multi-disciplinary rounds or case conferences
 
Other
 

 
 
 
How is your Navigation program financially supported (what source/s)?