The amount of time and effort I spend documenting patient care is appropriate.
1 = Strongly agree
2 = Agree
3 = Neither agree nor disagree
4 = Disagree
5 = Strongly disagree

In the past 6 months, there has been a noticeable change in the time or effort or both needed for me to complete my documentation tasks.
1 = Greatly Increased
2 = Somewhat Increased
3 = Unchanged
4 = Somewhat Decreased
5 = Greatly Decreased

What is your age?
1 = 18-24
2 = 25-34
3 = 35-44
4 = 45-54
5 = 55-64
6 = 65+

What is your gender?
0 = Prefer To Self-describe (Free Text Here:)
1 = Male
2 = Female
3 = Non-binary/Third Gender
4 = Prefer Not to Say

How many years of clinical experience do you have in total (not including as a student; for physicians, please include residency)?
1 = Less than 1 year
2 = 1-2 years
3 = 3-5 years
4 = 6-10 years
5 = 11-20 years
6 = 21 years or more
7 = N/A

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Acupuncturist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Behavioral and Mental Health Specialist (e.g., Clinical Psychologist, Psychotherapist, Therapist)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Care Management (i.e., Caseworker, Care Manager)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Chiropractor

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Clinical Technician

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Counselor (including mental health, substance use, youth/peer specialists)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Dentist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Dietician

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Medical Assistant

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Nursing: Advanced Practice Registered Nurse (e.g., Nurse Practitioner, Clinical Nurse Specialist, Nurse Anesthetist)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Nursing: K-12 School Nurse

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Nursing: Licensed Practical Nurse/Licensed Vocational Nurse

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Nursing: Nurse Manager/Supervisor (Clinical Role)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Nursing: Registered Nurse

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Nursing/Patient Care Assistant

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Occupational Therapist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Other Clinical Staff

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Pharmacist (including Advance Practice Pharmacist, Clinical Pharmacy Specialist)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Physical Therapist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Physician Assistant

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Physician/Surgeon

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Radiologist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Respiratory Therapist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Social Worker (e.g., Licensed Social Worker, BSW, MSW)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Speech and Language Pathologist

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Student (any clinical trainee)

What are your clinical professional roles (i.e., roles for which you document patient care within the electronic health record)? (Check all that apply.)
1 = Other Clinical Staff (please specify)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Administrative (e.g., administrator, administrative assistant, front desk)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = CCIO/CIO

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = CMIO/CMO (including associate CMIO/CMO)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = CNIO/CNO (including associate CNIO/CNO)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Consultant (e.g., non-clinical role)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Educator (e.g., program/residency directors, academic faculty)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Informatics (e.g., clinical informatician, physician and nurse informaticists, informatics specialist)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Management (e.g., medical director, manager, nurse director (non-clinical))

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Operations (e.g., program manager/specialist, quality)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Researcher

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Student/Trainee/Fellow (non-clinical)

What are your other (non-clinical) professional roles, if applicable? (Check all that apply.)
1 = Other non-clinical (please specify)

What is your primary clinical specialty area (if applicable)?
0 = Other (please specify)
1 = Addiction Medicine
2 = Allergy and Immunology
3 = Anesthesiology
4 = Audiology
5 = Cardiology
6 = Critical Care & Intensive Care
7 = Dentistry (including specialties e.g., Orthodontics, Endodontics)
8 = Dermatology
9 = Emergency Medicine
10 = Family Medicine
11 = Laboratory
12 = Lifestyle Medicine
13 = Medical Genetics and Genomics
14 = Medical - Surgical
15 = Medicine - Hospitalist
16 = Medicine - Primary Care
17 = Medicine Subspecialties (e.g., Cardiology, Endocrinology, Oncology, Gastroenterology, etc.)
18 = Neurology
19 = Nutrition
20 = Obstetrics and Gynecology
21 = Ophthalmology
22 = Pain Medicine
23 = Pathology
24 = Patient Access & Registration
25 = Pediatrics (including specialties/sub-specialties e.g., Neonatology, Critical Care)
26 = Pharmacy
27 = Physical Medicine and Rehabilitation, Physical Therapy, or Occupational Therapy
28 = Preventive Medicine
29 = Psychiatry & Behavioral Health (including Psychology and Substance Use)
30 = Public Health/Community Health
31 = Radiation Oncology
32 = Radiology (Diagnostic and Therapeutic) & Nuclear Medicine
33 = Respiratory Therapy
34 = Social Work
35 = Speech & Language Pathology
36 = Surgery (including specialties e.g.: Colorectal, Neurosurgery, Plastic, ENT, Orthopedic, Urology, Transplant & Periopera

What type of setting do you work in? (Check all that apply)
1 = Academic medical center

What type of setting do you work in? (Check all that apply)
1 = Community-based organization

What type of setting do you work in? (Check all that apply)
1 = Private practice

What type of setting do you work in? (Check all that apply)
1 = Outpatient clinics

What type of setting do you work in? (Check all that apply)
1 = Inpatient/Hospital

What type of setting do you work in? (Check all that apply)
1 = Emergency department

What type of setting do you work in? (Check all that apply)
1 = Urgent care/Walk-in clinic

What type of setting do you work in? (Check all that apply)
1 = Nursing Home/Rehab/Long term care facility

What type of setting do you work in? (Check all that apply)
1 = Behavioral Health/Substance Use Treatment Center (including residential programs)

What type of setting do you work in? (Check all that apply)
1 = K-12 School

What type of setting do you work in? (Check all that apply)
1 = Government funded center (e.g., VA, county hospital, FQHC)

What type of setting do you work in? (Check all that apply)
1 = Correctional facility

What type of setting do you work in? (Check all that apply)
1 = Urban

What type of setting do you work in? (Check all that apply)
1 = Suburban

What type of setting do you work in? (Check all that apply)
1 = Rural

What type of setting do you work in? (Check all that apply)
1 = Telemedicine/Telehealth

What type of setting do you work in? (Check all that apply)
1 = Other (please specify)

If you are student, trainee or fellow, please select one of these adjacent fields.
0 = Other (please specify)
1 = N/A Not a Student, Trainee or Fellow
2 = Informatics
3 = Medicine - MD, DO trainee (including medical student, resident, fellow)
4 = Mental Health/Counseling
5 = Nursing (any role including LPN, RN, NP, CNS)
6 = Patient Care Technician or Assistant
7 = Pharmacy
8 = Physical, Occupational or Speech & Language Therapy
9 = Physician Assistant
10 = Psychology
11 = Research
12 = Respiratory Therapy
13 = Social Work