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Tools for Living Well Toolkit - Canadian Association of Occupational ...

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72<br />

Evaluation <strong>Tools</strong><br />

3. Do you think that your knowledge about the following has changed?<br />

Assistive Device Yes No<br />

Cane<br />

Grab bar<br />

Bath bench or seat<br />

Non-slip bath mat <strong>for</strong> outside the tub/shower<br />

Non-slip bath mat <strong>for</strong> inside the tub/shower<br />

Hip protectors<br />

4. Has your confidence about your ability to help your customer select the right device (features, size,<br />

etc) changed?<br />

Assistive Device Yes No<br />

Cane<br />

Grab bar<br />

Bath bench or seat<br />

Non-slip bath mat <strong>for</strong> outside the tub/shower<br />

Non-slip bath mat <strong>for</strong> inside the tub/shower<br />

Hip protectors<br />

5. Do you have brochures or in<strong>for</strong>mation sheets that you can share with your customers on each <strong>of</strong> the<br />

following?<br />

Assistive Device No Yes Don’t<br />

know<br />

Cane<br />

Grab bar<br />

Bath bench or seat<br />

Non-slip bath mat<br />

<strong>for</strong> outside the tub/<br />

shower<br />

Non-slip bath mat<br />

<strong>for</strong> inside the tub/<br />

shower<br />

<strong>Tools</strong> <strong>for</strong> <strong>Living</strong> <strong>Well</strong><br />

Comments or type <strong>of</strong> in<strong>for</strong>mation available<br />

Evaluation Tool 3

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