RSV Impact Assessment Survey: Understanding Burdens and Practices in Primary Care and Private Practice Settings

Demographics and Practice Information

Question Title

* 1. In what country do you practice?

Question Title

* 2. Professional Role: What is your role?

Pediatrician

General Practitioner

Nurse

Other (please specify)

Question Title

* 3. Practice Setting: Is your practice located in an:

Urban area

Suburban area

Rural area

Other (please specify)

Question Title

* 4. Practice Type: Do you work in a:

Primary healthcare facility

Hospital Pediatric Clinic

Private practice

Other (please specify)