The purpose of this survey is to gain insight into the current situation in pediatric practices in our region as it relates to the COVID-19 pandemic. The results will help us focus on what is most important as we advocate on your behalf. We are repeating the survey we conducted earlier in May 2020 to access the impact of the pandemic on pediatric practices.

The survey will take up to 20 minutes to fill out. Please complete this by Friday, February 26th.

Please note: you do not have to answer all questions. Please answer the questions that are most important to you and click the "done" button.

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* 1. Did you participate in the first iteration of this survey, in May of 2020?

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* 2. How concerned are you about your practice’s financial health during and after the
COVID-19 pandemic?

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* 3. How has your volume of patients changed since March 1, 2020?

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* 4. If your patient volume has decreased, please check the approximate percentage by which patient volume in your practice setting has decreased.

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* 5. If your practice revenue has decreased during the COVID-19 pandemic, please check the approximate percentage by which revenue has decreased.

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* 6. What actions has your practice taken as a result of the COVID-19 crisis? (Check all that apply)

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* 7. If you laid off or furloughed staff, what is the  approximate percentage who were laid off or furloughed?

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* 8. If you laid off or furloughed physicians, what is the  approximate percentage who were laid off or furloughed?

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* 9. How many staff or physicians were laid off or furloughed due to COVID-19 concerns related to their age or underlying conditions?

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* 10. Have you applied for a loan created by the CARES Act from the Small Business
Administration or a private lender?

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* 11. If you applied for a loan from SBA, please indicate your experience with seeking a loan (Check all that apply):

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* 12. If you applied for the SBA Paycheck Protection Program, what was your experience?

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* 13. If you did not apply for a loan created by the CARES Act, please indicate why:

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* 14. What resources or support would you find most useful? (Please rate your top 5 selections and rank in order of importance using a scale of 1-5, with 1 being the most important. You can drag the options below to prioritize them from 1 to 5)

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* 15. In what capacity are you currently caring for patients (select all that apply)?

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* 16. Considering your billable patient encounters in the last month, what percentage of them account for Telemedicine encounters?

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* 17. I feel that I am adequately prepared to answer parent and/or patients’ questions
about COVID-19

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* 18. Specific guidelines for diagnosing and treating pediatric COVID-19 cases should be created

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* 19. The COVID-19 crisis has impacted my ability to provide well visits to my patients

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* 20. I consider telemedicine to be:

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* 21. The COVID-19 crisis has impacted my ability to provide vaccines to my patients

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* 22. What aspects of child and youth health do you think are going to be affected adversely during the COVID-19 pandemic? (check all that apply)

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* 23. If your staff (physicians) received the vaccine, what is the approximate percentage of your staff (physicians) who received the vaccine?

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* 24. Do you administer the COVID-19 vaccine?

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* 25. What percentage of your patient and patient family indicate interest in obtaining the COVID-19 vaccine?

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* 26. I feel like I can successfully address questions or concerns that my patient might have regarding the vaccine.

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* 27. During this COVID-19 outbreak, as a healthcare provider, I am most concerned about:

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* 28. What is the biggest change you made in your clinical practice since the onset of the pandemic?

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* 29. If you hired staff during the pandemic, what is their role?

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* 30. What is the most important need for community pediatric clinics to survive the pandemic?

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* 31. Please share your personal stories about how the COVID-19 pandemic has impacted your practice and its viability? We are not collecting personal information. All comments shared will be edited to protect the identity of individuals and organizations

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* 32. Indicate the county where you practice:

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* 33. Please indicate your practice setting

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* 34. How many physicians are in your practice?

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* 35. Please indicate your specialty

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* 36. Approximately what proportion of patients in your practice are covered by the
following insurance types? The sum of all fields should total 100%

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* 37. Please provide your age:

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* 38. Please indicate the gender with which you most identify:

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