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* 1. Based on your current knowledge and professional experience, what do you see as the top three priorities for public health genetics planning in Maine (select only 3)

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* 2. How have you received previous genetics training/education in the past? Please indicate all that apply

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* 3. What is your preferred way to receive genetics traiing & education now? Please indicate all that apply

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* 4. What is your primary area of medical/nursing speciality? Choose one

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* 5. In what type of setting do you primarily practice? Choose one

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* 6. How confident are you with your ability to perform the following activities:

  Not at all confident Not so confident Somewhat Confident Extremely Confident No comment
Identify the genetic aspect of a patient's conditions
Take a three generation family pedigree
Interpret family history's contribution to genetic risk
Order the appropriate genetic test
Interpret genetic test results

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* 7. Of the patients that you personally provide care for, about what percentage are diagnosed with or do you believe may have a medical condition that has an inherited or genetic basis?

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* 8. Have you ever referred a patient to a genetics service provider (clinical geneticist or genetic counselor) for any type of clinical genetic service such as evaluation, counseling, genetic testing, or treatment?

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* 9. If Yes to question 8 for the most part, have you been satisfied with the genetic service your patient received?

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* 10. If no to question 8, do you know of another clinical genetics service/resource near you?

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* 11. Have any of your patients had problems with insurance reinbursement for clnical genetics services (evaluation, counseling or genetic testing or treatment)?

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* 12. What genetic services do you want for your patients that are not readily available? Check all that apply

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* 13. Do you have any other comments or questions?

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