Hi Grace,
I have really enjoyed watching this protocol evolve! I have been considering how this might be done in surgical clinics as well. You may have thought of this already, but one thing I was thinking that might help reduce the burden on the clinicians would be to have the patients fill it out while they are waiting. Then it can be scored by the MA's and put in the chart with the vital signs so the clinician has the score by the time he/she is seeing the patient. Good luck!