COVID-19 Practice Risks

Question Title

* 1. Have you experienced an outbreak of COVID-19 in your practice?

Yes

No

Question Title

* 2. Which group do you feel would be most likely to contribute to a COVID-19 outbreak in your practice?

Clinical staff

Nonclinical staff

Patients

Other

Question Title

* 3. Which area of your practice are you most concerned about as a potential site of COVID-19 transmission?

Waiting room(s)

Exam room(s)

Staff room(s)

Surgery center(s)

Other

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* 4. Do you feel your staff members possess the same level of concern as you regarding COVID-19 safety in your practice?

Yes

No

Unsure

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* 5. As COVID-19 case numbers increase in multiple areas across the United States, are you considering making further modifications to your practice setup or patient load?

Yes

No