Introduction to deprescribing self-asessment

Question Title

1. Select your province/territory of residence (Required.)

Canada: Alberta

Canada: British Columbia

Canada: Manitoba

Canada: New Brunswick

Canada: Newfoundland and Labrador

Canada: Northwest Territories

Canada: Nova Scotia

Canada: Nunavut

Canada: Ontario

Canada: Prince Edward Island

Canada: Quebec

Canada: Saskatchewan

Canada: Yukon

Australia

United Kingdom

United States of America

Other (please specify)

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2. Years since I obtained my last professional degree: (Required.)

Less than 5 years

5 - 9

10 - 14

15 - 19

20 - 24

25 years or more

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3. Age: (Required.)

Under 34

35 - 44

45 - 54

55 - 64

65 and older

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4. Sex: (Required.)

Male

Female

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5. Professional Practice Setting (Required.)

Primary care / Community

Acute care hospital

Rehab or long-term care seting

Academic

Other (please specify)

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6. Profession: (Required.)

Primary care physician

Specialist physician

Nurse practitioner

Nurse

Pharmacist

Other allied health care provider

Health care administrator

Academic / researcher

Student

Other (please specify)

Question Title

* 1. Select your province/territory of residence (Required.)

Question Title

* 2. Years since I obtained my last professional degree: (Required.)

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* 3. Age: (Required.)

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* 4. Sex: (Required.)

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* 5. Professional Practice Setting (Required.)

Question Title

* 6. Profession: (Required.)

1. Select your province/territory of residence (Required.)

2. Years since I obtained my last professional degree: (Required.)

3. Age: (Required.)

4. Sex: (Required.)

5. Professional Practice Setting (Required.)

6. Profession: (Required.)