Canadian PD Guidelines The following survey is intended for health professionals in Canada. Your input will help us improve our evidence-based resources for you and your patients. This survey will take about five minutes to complete. Thank you for your feedback. Question Title * 1. I am a: Family Doctor Neurologist Neurosurgeon Resident Neuropsychologist Student Nurse specialist Other specialty: Please specify _PT/OT/Pharmacist/SLP Question Title * 2. Select the province where you practice: Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Question Title * 3. Please name your city and workplace institution City Institution Question Title * 4. What percentage of your practice is focused on Parkinson’s disease? <20% 21%-30% 31%-40% 41%-50% 51%-60% 61%-70% >71% Question Title * 5. On average how many Parkinson's patients do you: Diagnose in a month Manage/see for follow-up visits in a month Question Title * 6. What sources do you use to keep up to date on Parkinson's research, treatment and patient management? (Please check all that apply) Canadian Neurological Sciences Federation Annual Congress Canadian Journal of Neurological Sciences Parkinson Society Canada Other Please specify other sources by name Question Title * 7. Along with the Canadian Neurological Sciences Federation Annual Congress what other international conferences, if any, have you attended? (Please list all by name below) Question Title * 8. Based on your clinical experience, what are the top two care gaps impacting Parkinson's disease? 1: 2: Question Title * 9. In your opinion, what two changes in the diagnosis, treatment and management of Parkinson's would have the most positive outcomes with patients? 1: 2: Question Title * 10. Would an electronic medical record (STAMP) help you monitor your Parkinson's patients? Yes No Question Title * 11. Do you have access to (or make referrals to) a multidisciplinary team (Physiotherapist, Speech Language Pathologist, Occupational Therapist, Social Worker) to help manage Parkinson’s patients? Yes No Question Title * 12. What topics would you like covered in future guidelines? Question Title * 13. What type of document would you prefer if guidelines were updated (rank order)? 1 2 3 Full guidelines 1 2 3 Consensus statement on specific topics 1 2 3 Expert opinion journal articles Question Title * 14. Would you visit www.parkinsonclinicalguidelines.ca, Parkinson Society Canada's website for health professionals, to learn about Parkinson's disease and to access educational resources? Yes No Question Title * 15. Did you attend the Canadian Neurological Sciences Federation Congress in Montreal in June 2013? Yes No Next
