CNF 2021 Telehealth Data Gathering Interest Survey for Clinicians

Please fill out the below survey to demonstrate your interest in participating in the Child Neurology Foundation's individual interviews with clinicians to gather data about the telehealth experience. Interviews will be scheduled after notification and take place before mid-June. Please email her with any questions or concerns at jnickrand@childneurologyfoundation.org

Question Title

* 1. What is your role in child neurology?

I am a child neurologist

I am a child neurology physician assistant or nurse practitioner

I am a pediatrician

I am an allied health professional that works with children with neurologic disorders (RN, OT, PT, nutritionist, speech therapist, etc)

I am a clinician in a different specialty that works with children with neurologic disorders

Other (please specify)

None of the above