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Confidential
PRS Program Director Survey re: COVID-19 Page 1 of 2
COVID_Resident_Survey
Record ID
__________________________________
Program Affiliation? (If you prefer anonymity, simply type "N/A")
__________________________________
Regarding the COVID-19 crisis, please rate how strongly you agree or disagree with the following statements.
Overall, I felt satisfied with the response from my Strongly Disagree
program/Program Director. Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree Overall, I felt satisfied with the response from my Strongly Disagree
instutition/affiliated hospitals. Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree Within the last month, I felt concerned about my Strongly Disagree ability to receive an adequate medical education. Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree Within the last month, I felt comfortable fulfilling Strongly Disagree
my work responsibilities. Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree Within the last month, I felt overwhelmed fulfilling Strongly Disagree
my clinical duties Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree Within the last month, I felt concerned about my Strongly Disagree
choice of career. Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree Within the last month, I felt fearful for my own Strongly Disagree safety and/or well-being while participating in Somewhat Disagree
clinical duties Neutral
Somewhat Agree Strongly Agree
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Page 2 of 2
Within the last month, I felt fearful for my Strongly Disagree family's/close friends' safety or well-being due to Somewhat Disagree potential exposure risks that I may pose. Neutral
Somewhat Agree Strongly Agree Over the last month, I felt that my program Strongly Disagree communicated well with me regarding program-wide Somewhat Disagree
changes. Neutral
Somewhat Agree Strongly Agree
Over the last month, I felt that my Strongly Disagree
institution/affiliated hospitals communicated well Somewhat Disagree with me regarding institution-wide changes or policy Neutral
updates. Somewhat Agree
Strongly Agree Overall, I felt my institution was prepared to handle Strongly Disagree
this crisis. Somewhat Disagree
Neutral
Somewhat Agree Strongly Agree
