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Thank you for submitting your report on this website. This survey is focused on the analysis of the human factors impact in Healthcare. No identifying data will be retained. Please do not write any identity data about anyone. These data will be systematically erased.

Q1. Period incident occured

Q2. Time incident occured
(fourchette horaire à renseigner, 1 seule réponse possible)

Q3.  Workload évaluation using the NASA Task Load Index
The NASA TLX is a multi-dimensional rating procedure that provides an overall score based on a weighted average of ratings on six subscales. Please put the cursor on the scale below.

Very low
Very High
Very low
Very High
Very low
Very High
Performance
Failure
Very low
Very High
Very low
Very High