Use our readymade template to create your Pearlin Mastery Scale (PM) for assessing an individual's sense of mastery
Create your care assessments
| PM score | Proposed treatment |
|---|---|
| 7-14 | Low sense of mastery, may need intervention |
| 15-21 | Moderate sense of mastery, monitor and provide support as needed |
| 22-28 | High sense of mastery, continue to encourage positive behaviors |
- Prebuilt template with Pearlin Mastery Scale (PM) scoring to assess the individual's sense of mastery
- 7-item questionnaire that scores each item as “1” (Strongly agree) to “4” (Strongly disagree)
- Real-time calculation of Pearlin Mastery Scale (PM) Score based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1005 |
| Patient Name | Jane D |
| Patient Email | janed@ymail.com |
| Patient Phone Number | 0987654322 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. I there is really no way I can solve some of the problems I have. | Disagree |
| 2. Sometimes I feel that I am being pushed around in life. | Strongly disagree |
| 3. I have little control over the things that happen to me. | Agree |
| 4. I can do just about anything I really set my mind to do. | Strongly agree |
| 5. I often feel helpless in dealing with the problems of life. | Disagree |
| 6. What happens to me in the future mostly depends on me. | Agree |
| 7. There is little I can do to change many of the important things in my life. | Strongly disagree |
| PM Score | 22 |
- Pre-populate patient details such as patient id, name, email etc in the Pearlin Mastery Scale (PM) assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their Pearlin Mastery Scale (PM) assessment form
- Allow patients to save their progress and complete their Pearlin Mastery Scale (PM) assessment form at a later time without losing any responses
- Set up an email template for your Pearlin Mastery Scale (PM) assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their Pearlin Mastery Scale (PM) score, next steps when they submit their assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | Jane D | 1. I there is really no way I can solve some of the problems I have. | Disagree | 3 | 22 |
| 3 | Jane D | 2. Sometimes I feel that I am being pushed around in life. | Strongly disagree | 4 | 22 |
| 4 | Jane D | 3. I have little control over the things that happen to me. | Agree | 2 | 22 |
| 5 | Jane D | 4. I can do just about anything I really set my mind to do. | Strongly agree | 4 | 22 |
| 6 | Jane D | 5. I often feel helpless in dealing with the problems of life. | Disagree | 3 | 22 |
| 7 | Jane D | 6. What happens to me in the future mostly depends on me. | Agree | 3 | 22 |
| 8 | Jane D | 7. There is little I can do to change many of the important things in my life. | Strongly disagree | 4 | 22 |
- Export patient responses including the calculated Pearlin Mastery Scale (PM) score to Google Sheets for easy record-keeping
- Export individual points for 7 items to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their sense of mastery
- Receive a copy of the response and the calculated Pearlin Mastery Scale (PM) score by email whenever a patient submits their assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1005 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. I there is really no way I can solve some of the problems I have.: | Disagree |
| 2. Sometimes I feel that I am being pushed around in life.: | Strongly disagree |
| 3. I have little control over the things that happen to me.: | Agree |
| 4. I can do just about anything I really set my mind to do.: | Strongly agree |
| 5. I often feel helpless in dealing with the problems of life.: | Disagree |
| 6. What happens to me in the future mostly depends on me.: | Agree |
| 7. There is little I can do to change many of the important things in my life.: | Strongly disagree |
| PM Score: | 22 |
| PM Score: | 22 |
- Create a HIPAA compliant Pearlin Mastery Scale (PM) assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting form responses to Google Sheets and sending them on email
- Prepopulate patient details in assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
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November 27, 2023
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