Use our readymade template to create your Personal Growth Initiative Scale (PGIS) for assessing an individual's active and intentional involvement in personal growth
Create your care assessments
| PGI score | Proposed treatment |
|---|---|
| 9-18 | Low personal growth initiative |
| 19-36 | Moderate personal growth initiative |
| 37-54 | High personal growth initiative |
- Prebuilt template with PGIS scoring to assess the presence of personal growth initiative
- 9-item questionnaire that scores each item from “1” (Definitely disagree) to “6” (Definitely agree)
- Real-time calculation of PGIS 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 | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| 1. I know how to change specific things that I want to change in my life. | Definitely agree |
| 2. I have a good sense of where I am headed in my life. | Mostly agree |
| 3. If I want to change something in my life, I initiate the transition process. | Somewhat agree |
| 4. I can choose the role that I want to have in a group. | Definitely agree |
| 5. I know what I need to do to get started toward reaching my goals. | Mostly agree |
| 6. I have a specific action plan to help me reach my goals. | Somewhat agree |
| 7. I take charge of my life. | Definitely agree |
| 8. I know what my unique contribution to the world might be. | Mostly agree |
| 9. I have a plan for making my life more balanced. | Somewhat agree |
| PGI Score | 52 |
- Pre-populate patient details such as patient id, name, email etc in the PGIS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their PGIS assessment form prior to their visit
- Allow patients to save their progress and complete their PGIS assessment form at a later time without losing any responses
- Set up an email template for your PGIS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their PGIS score, diagnosis, next steps when they submit their PGIS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | 1. I know how to change specific things that I want to change in my life. | Definitely agree | 6 | 52 |
| 3 | John W | 2. I have a good sense of where I am headed in my life. | Mostly agree | 5 | 52 |
| 4 | John W | 3. If I want to change something in my life, I initiate the transition process. | Somewhat agree | 4 | 52 |
| 5 | John W | 4. I can choose the role that I want to have in a group. | Definitely agree | 6 | 52 |
| 6 | John W | 5. I know what I need to do to get started toward reaching my goals. | Mostly agree | 5 | 52 |
| 7 | John W | 6. I have a specific action plan to help me reach my goals. | Somewhat agree | 4 | 52 |
| 8 | John W | 7. I take charge of my life. | Definitely agree | 6 | 52 |
| 9 | John W | 8. I know what my unique contribution to the world might be. | Mostly agree | 5 | 52 |
| 10 | John W | 9. I have a plan for making my life more balanced. | Somewhat agree | 4 | 52 |
- Export patient responses including the calculated PGIS score to Google Sheets for easy record-keeping
- Export individual points for each item 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 personal growth initiative
- Receive a copy of the response and the calculated PGIS score by email whenever a patient submits their PGIS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| 1. I know how to change specific things that I want to change in my life. : | Definitely agree |
| 2. I have a good sense of where I am headed in my life. : | Mostly agree |
| 3. If I want to change something in my life, I initiate the transition process. : | Somewhat agree |
| 4. I can choose the role that I want to have in a group. : | Definitely agree |
| 5. I know what I need to do to get started toward reaching my goals. : | Mostly agree |
| 6. I have a specific action plan to help me reach my goals. : | Somewhat agree |
| 7. I take charge of my life. : | Definitely agree |
| 8. I know what my unique contribution to the world might be. : | Mostly agree |
| 9. I have a plan for making my life more balanced. : | Somewhat agree |
| PGI Score: | 52 |
| PGI Score: | 52 |
- Create a HIPAA compliant PGIS 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 PGIS form responses to Google Sheets and sending them on email
- Prepopulate patient details in PGIS 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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— Sol Evans
October 31, 2023
We needed a way to create forms with e-signatures and this app made it very easy. Support is also very quick and always helpful. Cannot recommend enough!
— Chris Henesy
February 16, 2024
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July 12, 2023
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November 27, 2023
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July 10, 2023
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