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CCLINORA LAB

Modules Appraisal record

CLINICIAN FEEDBACK · PRIVACY-MINIMISED

Review the pilot,
without identifying yourself.

This form is designed for at least five colleague reviews. It asks only for a broad professional role, four ratings and an optional improvement suggestion.

Do not enter patient information.

No names, email addresses, registration numbers or workplaces are requested. An anonymised response is sent securely to Clinora and also retained on this device for the local summary.

Module reviewedBroad professional role

Clinical accuracy

12345

1 = serious concerns · 5 = strong

Clarity

12345

1 = serious concerns · 5 = strong

Practical usefulness

12345

1 = serious concerns · 5 = strong

Safety

12345

1 = serious concerns · 5 = strong

Suggested improvement (optional)I consent to this anonymised educational feedback being stored by Clinora and on this device, and included in an anonymised learning or appraisal summary. I have not included patient or colleague-identifiable information.

ANONYMISED SUMMARY0/ 5 target reviews

Ratings will appear here after the first review.

The device summary is for immediate reflection. Clinora also stores the anonymised ratings centrally so feedback from different colleagues can be combined without collecting their contact details.

Examination practice only.Clinora makes reasonable efforts to check its questions, answers and learning material, but does not guarantee that every item is complete, error-free or current. Medical guidance and examination requirements change. Verify important points against current authoritative guidance and local policy, and never use Clinora as a substitute for professional judgement or patient-specific advice.

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