The Impact of Extreme Weather and Climate on SCI Care Question Title * 1. What is your age (years)? <21 21-30 31-40 41-50 51-60 61-70 71-80 >80 OK Question Title * 2. For how many years have you worked in healthcare? 0-10 11-20 21-30 31-40 41-50 51-60 >60 OK Question Title * 3. What is your primary occupation? Medical Doctor/Physician Assistant/Nurse Practitioner Physical Therapy/Occupational Therapy Psychology/Counseling Nursing I am primarily a researcher Other (please specify) OK Question Title * 4. In what setting do you work? Private Public A mix of private and public Other (please specify) OK Question Title * 5. Do you work in a city or country setting? City Country Suburb OK Question Title * 6. Do you consider your work environment/patient population economically privileged or underprivileged? privileged (most patients have access to vehicles, electricity, adequate equipment) underprivileged (many patients do not have access to vehicles, electricity, or basic equipment) other (please comment below) Other (please specify) OK Question Title * 7. What continent are you from? Africa Asia Europe Oceania North America South America OK Question Title * 8. What type of climate conditions does your region usually have? Tropical Dry Moderate Continental Polar Unsure Other (please specify) OK Question Title * 9. Have the climate/weather conditions in your region changed in the last 5 years? Yes No Unsure OK Question Title * 10. Do you believe the climate/weather changes have had an effect on your patient’s health and wellbeing? Yes No Unsure OK Question Title * 11. In your opinion, which climatic/weather condition changes have had the biggest impacts on your patient's health in last 5 years? Extreme heat spells Extreme cold spells Increased Rainfall Events Drying or Drough Increasing Humidity Extreme events Fires Other (please specify) OK Question Title * 12. In what ways do you believe climate change has affected your patients health and wellbeing? New Types of infections (e.g. zika, chikungunya) Frequent urinary tract infections Skin breakdown, rashes or infection Excessive sweating Dehydration Electrolyte imbalance Diarrhoea and constipation Problems with controlling body temperature (e.g. body cooling, overheating) Blood pressure problems (e.g. fainting, light headedness and blackouts) Breathing problems (e.g. coughing, allergies, asthma, airway tightness) Mood disturbance (e.g. anxiety, depression, stress) Increased fatigue Changes in access (e.g. restricted mobility due to extreme temperature or rain) Reduced community participation (e.g. involvement in social activities and work) Needed to evacuate because of flooding, fires or fear of extreme weather Other (please specify) OK Question Title * 13. Which issues related to climate, health and well-being do you address with your patients? Maintain adequate fluid intake (e.g. water, oral electrolytic drinks) Recommend Air-conditioning or using fans Recommend taking thermometer with them when they are going to be outdoors during extreme weather Cold/Wind Protection: (e.g. stay indoors when temps are too low, provide warming suggestions) Heat protection (e.g. stay out of sun during mid day or stay indoors on days when temp is too high) Layering of clothing (light or heavy as per the climate condition) Suitable housing modifications (e.g. ensure home is accessible with access to temperature control, water) Daily backup supplies (e.g. food, drinking water, power back-up) Educate patients about need for disaster preparation I really don't do anything in particular Other (please specify) OK Question Title * 14. Have you experienced disasters in your region related to weather/climate and what has been the impact on your patients? No Yes - Low Impact Yes - Moderate Impact Yes - High Impact (please elaborate) OK Question Title * 15. Have you experienced disasters in your region related to crowding or political issues that you think may be related to climate, and if so, what has been the impact on your patients? No Yes - Low Impact Yes - Moderate Impact Yes - High Impact (please elaborate) OK Question Title * 16. Have you personally taken actions to educate and help your patients with disaster preparation? Yes No Other (please specify) OK Question Title * 17. Do you use telemedicine to assist in treating patients with travel difficulties due to weather or disaster? Yes, for emergencies Yes, we use it for emergencies and routine practice No OK Question Title * 18. Are you interested in learning more about telemedicine? Yes No Other (please specify) OK Question Title * 19. Do you think professionals and patients in the area of SCI should concern themselves with sustainability? Yes No Unsure OK Question Title * 20. Do you make any efforts to consider sustainability when caring for and prescribing supplies/equipment for persons with SCIs? Yes No Other (please specify) OK Question Title * 21. On a scale of 0 (completely unprepared) to 10 (completely prepared), how prepared do you think you are to deal with the impact of climate change and weather disasters on your patient's health in the future? 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 22. On a scale of 0 (completely unprepared) to 10 (completely prepared), how prepared do you think your patients are to deal with the impacts of extreme weather events? 0 10 Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 23. Are you interested in learning more about extreme weather and climate concerns for your patients with SCIs? Yes No Other (please specify) OK Question Title * 24. What areas do you think would be most helpful to provide education in? Information for patients on safety during extreme heat or cold Information for patients on disaster preparation Information on practicing sustainability in medical care Information on telemedicine information on advocacy and working with community groups information on climate change Other (please specify) OK Question Title * 25. Please provide any general comments or questions you have on this topic. OK DONE