Exit this survey Pain Management Pharmacist Survey 1. Pain Management Pharmacist Survey 33% of survey complete. Please complete this brief survey and submit your email address at the end of the survey form by November 20, 2009 to be entered into a random drawing to win an Apple iPod Touch. Question Title * 1. Which of the following best describes the primary focus of your full-time clinical practice? Please select only ONE answer. Addiction Medicine Anesthesiology Pain and Addiction Management Physical Medicine/Rehabilitation Internal Medicine/Family Practice/General Practice Psychiatry Palliative Care Psychology Pain Management Orthopedics Women's Health Geriatrics Neurology Oncology Other (please specify) Question Title * 2. Which of the following best describes your primary role? Please select only ONE answer. Academic pharmacist Clinical pharmacist Community pharmacist Compounding pharmacist Consultant pharmacist Drug information pharmacist Health system pharmacist Home health pharmacist Hospital pharmacist Industrial pharmacist Informatics pharmacist Locum pharmacist Managed care pharmacist Military pharmacist Nuclear pharmacist Oncology pharmacist Regulatory-affairs pharmacist Veterinary pharmacist Pharmacist clinical pathologist Student Other (please specify) Question Title * 3. What type of practice role(s) do you perform? Please check all that apply. Administrative Clinical practice Faculty/teaching Research Other (please specify) Question Title * 4. How many years have you been in practice in your current primary clinical field? Please select only ONE answer. < 5 years 5-10 years 11-15 years 16-20 years 21-25 years > 25 years Question Title * 5. What is your practice setting? Please check all that apply. Academic/University Hospital inpatient Managed care Pharmacist-managed center Primary/ambulatory care Specialty care Govt/military/VA Long-term care Pharmacist-run private practice Retail Other (please specify) Next