{"id":128,"date":"2021-07-18T15:11:06","date_gmt":"2021-07-18T19:11:06","guid":{"rendered":"https:\/\/echopaincanada.ca\/?page_id=128"},"modified":"2021-07-18T15:11:07","modified_gmt":"2021-07-18T19:11:07","slug":"post-questionnaire","status":"publish","type":"page","link":"https:\/\/echopaincanada.ca\/fr\/post-questionnaire\/","title":{"rendered":"Post-Questionnaire"},"content":{"rendered":"\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Post-Questionnaire<\/h2>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-block\" id=\"wpforms-122\"><form id=\"wpforms-form-122\" class=\"wpforms-validate wpforms-form\" data-formid=\"122\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/wp-json\/wp\/v2\/pages\/128\" data-token=\"2dfe7fa0f2372b859440892c3b1f09c2\" data-token-time=\"1780201882\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#0170b9\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" data-page-2-title=\"Self-Efficacy\" data-page-3-title=\"Attitudes and Behaviours About Chronic Pain\" data-page-4-title=\"Chronic Pain Knowledge Questions \" data-page-5-title=\"Adherence to opioid guidelines\" data-page-6-title=\"Barriers and facilitators to implementation\" data-page-7-title=\"Acceptability and Satisfaction with ECHO\"><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 7<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:14.285714285714%;background-color:#0170b9\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-122-field_2-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"2\"><\/div><div id=\"wpforms-122-field_4-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"4\"><div id=\"wpforms-122-field_4\"><p>\r\nDear ECHO Community Partner,<br \/>\r\n<br \/>\r\n\r\nWe are asking you to complete this questionnaire because you attended ECHO Pain Canada [insert hub site name ex.McGill University]. This Post-ECHO questionnaire is 6 sections long and takes on average 20 min or less to complete. It will cover the following:<br \/>\r\n<br \/>\r\n\r\n1.\tSelf-efficacy<br \/>\r\n2.\tAttitudes and behaviours about chronic pain<br \/>\r\n3.\tKnowledge test<br \/>\r\n4.\tAdherence to guidelines (to be completed only by physicians, nurse practitioners, physician assistants, dentists, residents, fellows)<br \/>\r\n5.\tBarriers and facilitators to implementation<br \/>\r\n6.\tSatisfaction with ECHO<br \/>\r\n\r\n<br \/><br \/>\r\nBy completing this questionnaire, you are consenting to participate in this program evaluation study. If you have any question regarding your rights as a program evaluation participant, please contact our Study Manager, Yalnee Shantharam at yalnee.shantharam@uhn.ca or the Quality Improvement Review Committee (QIRC) at QI@uhn.ca.<br \/><br \/>\r\n\r\nThe aggregate data collected here will be used as part of an evaluation of this project funded by Health Canada. There is no industry or commercial involvement with any research conducted by ECHO Pain Canada. \r\n<br \/><br \/>\r\nCompletion of this survey is voluntary and your participation, or choice not to participate, will not affect your current or future affiliation with ECHO Pain Canada. ECHO Pain Canada will not share your data with any external institution. Your responses are confidential.\r\n<br \/><br \/>\r\nThank you for your time and support,<br \/>\r\nECHO Pain Canada<br \/>\r\n\r\n<\/p><\/div><\/div><div id=\"wpforms-122-field_41-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"41\"><label class=\"wpforms-field-label\"> Please enter your email to begin <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-122-field_41\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][41][primary]\" spellcheck=\"false\" required><label for=\"wpforms-122-field_41\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-122-field_41-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-122-field_41\" name=\"wpforms[fields][41][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-122-field_41-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/div><div id=\"wpforms-122-field_1-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"1\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"122\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-122-field_5-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"5\"><label class=\"wpforms-field-label\">Self-Efficacy: Please answer the following <span class=\"wpforms-required-label\">*<\/span><\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:10%;\">Strongly Disagree<\/th><th style=\"width:10%;\">Disagree<\/th><th style=\"width:10%;\">Somewhat Disagree<\/th><th style=\"width:10%;\">Neither Agree nor Disagree<\/th><th style=\"width:10%;\">Somewhat Agree<\/th><th style=\"width:10%;\">Agree<\/th><th style=\"width:10%;\">Strongly Agree<\/th><th style=\"width:10%;\">Not Applicable<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>1) I am confident in my ability to identify patients who need pharmacological management of chronic pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"1\" required><label for=\"wpforms-122-field_5_1_1\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"2\" required><label for=\"wpforms-122-field_5_1_2\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"6\" required><label for=\"wpforms-122-field_5_1_6\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"3\" required><label for=\"wpforms-122-field_5_1_3\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"4\" required><label for=\"wpforms-122-field_5_1_4\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"7\" required><label for=\"wpforms-122-field_5_1_7\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"5\" required><label for=\"wpforms-122-field_5_1_5\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_1_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][1]\" value=\"8\" required><label for=\"wpforms-122-field_5_1_8\"><span class=\"wpforms-screen-reader-element\">1) I am confident in my ability to identify patients who need pharmacological management of chronic pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"1\" required><label for=\"wpforms-122-field_5_2_1\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"2\" required><label for=\"wpforms-122-field_5_2_2\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"6\" required><label for=\"wpforms-122-field_5_2_6\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"3\" required><label for=\"wpforms-122-field_5_2_3\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"4\" required><label for=\"wpforms-122-field_5_2_4\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"7\" required><label for=\"wpforms-122-field_5_2_7\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"5\" required><label for=\"wpforms-122-field_5_2_5\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_2_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][2]\" value=\"8\" required><label for=\"wpforms-122-field_5_2_8\"><span class=\"wpforms-screen-reader-element\">2) I am confident in my ability to identify patients who may need a comprehensive approach (rehabilitation, psychological service) to pain treatment Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>3) I am confident in my ability to assess patients for responsible opioid analgesic treatment<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"1\" required><label for=\"wpforms-122-field_5_3_1\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"2\" required><label for=\"wpforms-122-field_5_3_2\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"6\" required><label for=\"wpforms-122-field_5_3_6\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"3\" required><label for=\"wpforms-122-field_5_3_3\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"4\" required><label for=\"wpforms-122-field_5_3_4\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"7\" required><label for=\"wpforms-122-field_5_3_7\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"5\" required><label for=\"wpforms-122-field_5_3_5\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_3_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][3]\" value=\"8\" required><label for=\"wpforms-122-field_5_3_8\"><span class=\"wpforms-screen-reader-element\">3) I am confident in my ability to assess patients for responsible opioid analgesic treatment Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"1\" required><label for=\"wpforms-122-field_5_4_1\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"2\" required><label for=\"wpforms-122-field_5_4_2\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"6\" required><label for=\"wpforms-122-field_5_4_6\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"3\" required><label for=\"wpforms-122-field_5_4_3\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"4\" required><label for=\"wpforms-122-field_5_4_4\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"7\" required><label for=\"wpforms-122-field_5_4_7\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"5\" required><label for=\"wpforms-122-field_5_4_5\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_4_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][4]\" value=\"8\" required><label for=\"wpforms-122-field_5_4_8\"><span class=\"wpforms-screen-reader-element\">4) I am confident in my ability to understand possible side-effects of most pharmacological medications used for pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>5) I am confident in my ability to educate my clinic staff about chronic pain patients<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"1\" required><label for=\"wpforms-122-field_5_5_1\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"2\" required><label for=\"wpforms-122-field_5_5_2\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"6\" required><label for=\"wpforms-122-field_5_5_6\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"3\" required><label for=\"wpforms-122-field_5_5_3\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"4\" required><label for=\"wpforms-122-field_5_5_4\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"7\" required><label for=\"wpforms-122-field_5_5_7\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"5\" required><label for=\"wpforms-122-field_5_5_5\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_5_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][5]\" value=\"8\" required><label for=\"wpforms-122-field_5_5_8\"><span class=\"wpforms-screen-reader-element\">5) I am confident in my ability to educate my clinic staff about chronic pain patients Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"1\" required><label for=\"wpforms-122-field_5_6_1\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"2\" required><label for=\"wpforms-122-field_5_6_2\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"6\" required><label for=\"wpforms-122-field_5_6_6\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"3\" required><label for=\"wpforms-122-field_5_6_3\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"4\" required><label for=\"wpforms-122-field_5_6_4\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"7\" required><label for=\"wpforms-122-field_5_6_7\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"5\" required><label for=\"wpforms-122-field_5_6_5\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_6_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][6]\" value=\"8\" required><label for=\"wpforms-122-field_5_6_8\"><span class=\"wpforms-screen-reader-element\">6) I am confident in my ability to assess and manage psychiatric co-morbidities in patients with chronic pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"1\" required><label for=\"wpforms-122-field_5_7_1\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"2\" required><label for=\"wpforms-122-field_5_7_2\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"6\" required><label for=\"wpforms-122-field_5_7_6\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"3\" required><label for=\"wpforms-122-field_5_7_3\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"4\" required><label for=\"wpforms-122-field_5_7_4\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"7\" required><label for=\"wpforms-122-field_5_7_7\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"5\" required><label for=\"wpforms-122-field_5_7_5\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_7_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][7]\" value=\"8\" required><label for=\"wpforms-122-field_5_7_8\"><span class=\"wpforms-screen-reader-element\">7) I am confident in my ability to assess and manage substance abuse co-morbidities in patients with chronic pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"1\" required><label for=\"wpforms-122-field_5_8_1\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"2\" required><label for=\"wpforms-122-field_5_8_2\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"6\" required><label for=\"wpforms-122-field_5_8_6\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"3\" required><label for=\"wpforms-122-field_5_8_3\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"4\" required><label for=\"wpforms-122-field_5_8_4\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"7\" required><label for=\"wpforms-122-field_5_8_7\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"5\" required><label for=\"wpforms-122-field_5_8_5\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_8_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][8]\" value=\"8\" required><label for=\"wpforms-122-field_5_8_8\"><span class=\"wpforms-screen-reader-element\">8) I am confident in my ability to be identified as a &quot;special interest&quot; within my clinic and in my locality for chronic pain questions\/issues Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"1\" required><label for=\"wpforms-122-field_5_9_1\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"2\" required><label for=\"wpforms-122-field_5_9_2\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"6\" required><label for=\"wpforms-122-field_5_9_6\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"3\" required><label for=\"wpforms-122-field_5_9_3\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"4\" required><label for=\"wpforms-122-field_5_9_4\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"7\" required><label for=\"wpforms-122-field_5_9_7\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"5\" required><label for=\"wpforms-122-field_5_9_5\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_9_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][9]\" value=\"8\" required><label for=\"wpforms-122-field_5_9_8\"><span class=\"wpforms-screen-reader-element\">9) I am confident in my ability to explain the risks and benefits of common interventional pain procedures Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"1\" required><label for=\"wpforms-122-field_5_10_1\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"2\" required><label for=\"wpforms-122-field_5_10_2\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"6\" required><label for=\"wpforms-122-field_5_10_6\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"3\" required><label for=\"wpforms-122-field_5_10_3\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"4\" required><label for=\"wpforms-122-field_5_10_4\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"7\" required><label for=\"wpforms-122-field_5_10_7\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"5\" required><label for=\"wpforms-122-field_5_10_5\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_10_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][10]\" value=\"8\" required><label for=\"wpforms-122-field_5_10_8\"><span class=\"wpforms-screen-reader-element\">10) I am confident in my ability to determine whether a patient is appropriate for opioid analgesic treatment Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry)<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"1\" required><label for=\"wpforms-122-field_5_11_1\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"2\" required><label for=\"wpforms-122-field_5_11_2\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"6\" required><label for=\"wpforms-122-field_5_11_6\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"3\" required><label for=\"wpforms-122-field_5_11_3\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"4\" required><label for=\"wpforms-122-field_5_11_4\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"7\" required><label for=\"wpforms-122-field_5_11_7\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"5\" required><label for=\"wpforms-122-field_5_11_5\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_11_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][11]\" value=\"8\" required><label for=\"wpforms-122-field_5_11_8\"><span class=\"wpforms-screen-reader-element\">11) I am confident in my ability to determine if a patient may benefit from cognitive behavioural treatment (psychology or psychiatry) Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>12) I am confident in my ability to work with patients who suffer from chronic pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"1\" required><label for=\"wpforms-122-field_5_12_1\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"2\" required><label for=\"wpforms-122-field_5_12_2\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"6\" required><label for=\"wpforms-122-field_5_12_6\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"3\" required><label for=\"wpforms-122-field_5_12_3\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"4\" required><label for=\"wpforms-122-field_5_12_4\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"7\" required><label for=\"wpforms-122-field_5_12_7\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"5\" required><label for=\"wpforms-122-field_5_12_5\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_12_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][12]\" value=\"8\" required><label for=\"wpforms-122-field_5_12_8\"><span class=\"wpforms-screen-reader-element\">12) I am confident in my ability to work with patients who suffer from chronic pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>13) I am confident in my ability to talk with a patient about chronic pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"1\" required><label for=\"wpforms-122-field_5_13_1\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"2\" required><label for=\"wpforms-122-field_5_13_2\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"6\" required><label for=\"wpforms-122-field_5_13_6\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"3\" required><label for=\"wpforms-122-field_5_13_3\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"4\" required><label for=\"wpforms-122-field_5_13_4\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"7\" required><label for=\"wpforms-122-field_5_13_7\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"5\" required><label for=\"wpforms-122-field_5_13_5\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_13_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][13]\" value=\"8\" required><label for=\"wpforms-122-field_5_13_8\"><span class=\"wpforms-screen-reader-element\">13) I am confident in my ability to talk with a patient about chronic pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"1\" required><label for=\"wpforms-122-field_5_14_1\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"2\" required><label for=\"wpforms-122-field_5_14_2\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"6\" required><label for=\"wpforms-122-field_5_14_6\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"3\" required><label for=\"wpforms-122-field_5_14_3\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"4\" required><label for=\"wpforms-122-field_5_14_4\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"7\" required><label for=\"wpforms-122-field_5_14_7\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"5\" required><label for=\"wpforms-122-field_5_14_5\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_14_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][14]\" value=\"8\" required><label for=\"wpforms-122-field_5_14_8\"><span class=\"wpforms-screen-reader-element\">14) I am confident in my ability to educate other staff members in our clinic about the complexities of issues associated with chronic pain treatment Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>15) I am confident in my ability to formulate a differential diagnosis for headaches<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"1\" required><label for=\"wpforms-122-field_5_15_1\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"2\" required><label for=\"wpforms-122-field_5_15_2\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"6\" required><label for=\"wpforms-122-field_5_15_6\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"3\" required><label for=\"wpforms-122-field_5_15_3\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"4\" required><label for=\"wpforms-122-field_5_15_4\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"7\" required><label for=\"wpforms-122-field_5_15_7\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"5\" required><label for=\"wpforms-122-field_5_15_5\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_15_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][15]\" value=\"8\" required><label for=\"wpforms-122-field_5_15_8\"><span class=\"wpforms-screen-reader-element\">15) I am confident in my ability to formulate a differential diagnosis for headaches Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>16) I am confident in my ability to treat chronic pain patients with adjunctive medications<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"1\" required><label for=\"wpforms-122-field_5_16_1\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"2\" required><label for=\"wpforms-122-field_5_16_2\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"6\" required><label for=\"wpforms-122-field_5_16_6\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"3\" required><label for=\"wpforms-122-field_5_16_3\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"4\" required><label for=\"wpforms-122-field_5_16_4\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"7\" required><label for=\"wpforms-122-field_5_16_7\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"5\" required><label for=\"wpforms-122-field_5_16_5\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_16_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][16]\" value=\"8\" required><label for=\"wpforms-122-field_5_16_8\"><span class=\"wpforms-screen-reader-element\">16) I am confident in my ability to treat chronic pain patients with adjunctive medications Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>17) I am confident in my ability to formulate a differential diagnosis for neck pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"1\" required><label for=\"wpforms-122-field_5_17_1\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"2\" required><label for=\"wpforms-122-field_5_17_2\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"6\" required><label for=\"wpforms-122-field_5_17_6\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"3\" required><label for=\"wpforms-122-field_5_17_3\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"4\" required><label for=\"wpforms-122-field_5_17_4\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"7\" required><label for=\"wpforms-122-field_5_17_7\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"5\" required><label for=\"wpforms-122-field_5_17_5\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_17_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][17]\" value=\"8\" required><label for=\"wpforms-122-field_5_17_8\"><span class=\"wpforms-screen-reader-element\">17) I am confident in my ability to formulate a differential diagnosis for neck pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>18) I am confident in my ability to formulate a differential diagnosis for low back pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"1\" required><label for=\"wpforms-122-field_5_18_1\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"2\" required><label for=\"wpforms-122-field_5_18_2\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"6\" required><label for=\"wpforms-122-field_5_18_6\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"3\" required><label for=\"wpforms-122-field_5_18_3\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"4\" required><label for=\"wpforms-122-field_5_18_4\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"7\" required><label for=\"wpforms-122-field_5_18_7\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"5\" required><label for=\"wpforms-122-field_5_18_5\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_18_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][18]\" value=\"8\" required><label for=\"wpforms-122-field_5_18_8\"><span class=\"wpforms-screen-reader-element\">18) I am confident in my ability to formulate a differential diagnosis for low back pain Not Applicable<\/span><\/label><\/div><\/td><\/tr><tr><th>19) I am confident in my ability to communicate effectively with patients and community members about chronic pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"1\" required><label for=\"wpforms-122-field_5_19_1\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"2\" required><label for=\"wpforms-122-field_5_19_2\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"6\" required><label for=\"wpforms-122-field_5_19_6\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Somewhat Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neither Agree nor Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"3\" required><label for=\"wpforms-122-field_5_19_3\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Neither Agree nor Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Somewhat Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"4\" required><label for=\"wpforms-122-field_5_19_4\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Somewhat Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_7\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"7\" required><label for=\"wpforms-122-field_5_19_7\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"5\" required><label for=\"wpforms-122-field_5_19_5\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not Applicable<\/span><input type=\"radio\" id=\"wpforms-122-field_5_19_8\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][5][19]\" value=\"8\" required><label for=\"wpforms-122-field_5_19_8\"><span class=\"wpforms-screen-reader-element\">19) I am confident in my ability to communicate effectively with patients and community members about chronic pain Not Applicable<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<\/div><div id=\"wpforms-122-field_6-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"6\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"122\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-122-field_7-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"7\"><label class=\"wpforms-field-label\">Section 2) Attitudes and behaviours about chronic pain <span class=\"wpforms-required-label\">*<\/span><\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:16%;\">Strongly Disagree<\/th><th style=\"width:16%;\">Disagree<\/th><th style=\"width:16%;\">Neutral<\/th><th style=\"width:16%;\">Agree<\/th><th style=\"width:16%;\">Strongly Agree<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>1. When I see consistently high scores on pain rating scales in the face of minimal or moderate pathology, this means that the patient is exaggerating his\/her pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][1]\" value=\"1\" required><label for=\"wpforms-122-field_7_1_1\"><span class=\"wpforms-screen-reader-element\">1. When I see consistently high scores on pain rating scales in the face of minimal or moderate pathology, this means that the patient is exaggerating his\/her pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][1]\" value=\"2\" required><label for=\"wpforms-122-field_7_1_2\"><span class=\"wpforms-screen-reader-element\">1. When I see consistently high scores on pain rating scales in the face of minimal or moderate pathology, this means that the patient is exaggerating his\/her pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][1]\" value=\"3\" required><label for=\"wpforms-122-field_7_1_3\"><span class=\"wpforms-screen-reader-element\">1. When I see consistently high scores on pain rating scales in the face of minimal or moderate pathology, this means that the patient is exaggerating his\/her pain Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][1]\" value=\"4\" required><label for=\"wpforms-122-field_7_1_4\"><span class=\"wpforms-screen-reader-element\">1. When I see consistently high scores on pain rating scales in the face of minimal or moderate pathology, this means that the patient is exaggerating his\/her pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_1_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][1]\" value=\"5\" required><label for=\"wpforms-122-field_7_1_5\"><span class=\"wpforms-screen-reader-element\">1. When I see consistently high scores on pain rating scales in the face of minimal or moderate pathology, this means that the patient is exaggerating his\/her pain Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>2. In chronic pain, the assessment should include measurement of the pain intensity, emotional distress, and functional status<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][2]\" value=\"1\" required><label for=\"wpforms-122-field_7_2_1\"><span class=\"wpforms-screen-reader-element\">2. In chronic pain, the assessment should include measurement of the pain intensity, emotional distress, and functional status Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][2]\" value=\"2\" required><label for=\"wpforms-122-field_7_2_2\"><span class=\"wpforms-screen-reader-element\">2. In chronic pain, the assessment should include measurement of the pain intensity, emotional distress, and functional status Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][2]\" value=\"3\" required><label for=\"wpforms-122-field_7_2_3\"><span class=\"wpforms-screen-reader-element\">2. In chronic pain, the assessment should include measurement of the pain intensity, emotional distress, and functional status Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][2]\" value=\"4\" required><label for=\"wpforms-122-field_7_2_4\"><span class=\"wpforms-screen-reader-element\">2. In chronic pain, the assessment should include measurement of the pain intensity, emotional distress, and functional status Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_2_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][2]\" value=\"5\" required><label for=\"wpforms-122-field_7_2_5\"><span class=\"wpforms-screen-reader-element\">2. In chronic pain, the assessment should include measurement of the pain intensity, emotional distress, and functional status Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>3. Early return to activities is one of my primary goals when treating a patient with recent onset back pain<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][3]\" value=\"1\" required><label for=\"wpforms-122-field_7_3_1\"><span class=\"wpforms-screen-reader-element\">3. Early return to activities is one of my primary goals when treating a patient with recent onset back pain Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][3]\" value=\"2\" required><label for=\"wpforms-122-field_7_3_2\"><span class=\"wpforms-screen-reader-element\">3. Early return to activities is one of my primary goals when treating a patient with recent onset back pain Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][3]\" value=\"3\" required><label for=\"wpforms-122-field_7_3_3\"><span class=\"wpforms-screen-reader-element\">3. Early return to activities is one of my primary goals when treating a patient with recent onset back pain Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][3]\" value=\"4\" required><label for=\"wpforms-122-field_7_3_4\"><span class=\"wpforms-screen-reader-element\">3. Early return to activities is one of my primary goals when treating a patient with recent onset back pain Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_3_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][3]\" value=\"5\" required><label for=\"wpforms-122-field_7_3_5\"><span class=\"wpforms-screen-reader-element\">3. Early return to activities is one of my primary goals when treating a patient with recent onset back pain Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>4. There is good evidence that psychosocial factors predict outcomes from back surgery better than the patient\u2019s physical characteristics<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][4]\" value=\"1\" required><label for=\"wpforms-122-field_7_4_1\"><span class=\"wpforms-screen-reader-element\">4. There is good evidence that psychosocial factors predict outcomes from back surgery better than the patient\u2019s physical characteristics Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][4]\" value=\"2\" required><label for=\"wpforms-122-field_7_4_2\"><span class=\"wpforms-screen-reader-element\">4. There is good evidence that psychosocial factors predict outcomes from back surgery better than the patient\u2019s physical characteristics Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][4]\" value=\"3\" required><label for=\"wpforms-122-field_7_4_3\"><span class=\"wpforms-screen-reader-element\">4. There is good evidence that psychosocial factors predict outcomes from back surgery better than the patient\u2019s physical characteristics Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][4]\" value=\"4\" required><label for=\"wpforms-122-field_7_4_4\"><span class=\"wpforms-screen-reader-element\">4. There is good evidence that psychosocial factors predict outcomes from back surgery better than the patient\u2019s physical characteristics Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_4_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][4]\" value=\"5\" required><label for=\"wpforms-122-field_7_4_5\"><span class=\"wpforms-screen-reader-element\">4. There is good evidence that psychosocial factors predict outcomes from back surgery better than the patient\u2019s physical characteristics Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>5. Antidepressants usually do not improve symptoms and function in chronic pain patients<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][5]\" value=\"1\" required><label for=\"wpforms-122-field_7_5_1\"><span class=\"wpforms-screen-reader-element\">5. Antidepressants usually do not improve symptoms and function in chronic pain patients Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][5]\" value=\"2\" required><label for=\"wpforms-122-field_7_5_2\"><span class=\"wpforms-screen-reader-element\">5. Antidepressants usually do not improve symptoms and function in chronic pain patients Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][5]\" value=\"3\" required><label for=\"wpforms-122-field_7_5_3\"><span class=\"wpforms-screen-reader-element\">5. Antidepressants usually do not improve symptoms and function in chronic pain patients Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][5]\" value=\"4\" required><label for=\"wpforms-122-field_7_5_4\"><span class=\"wpforms-screen-reader-element\">5. Antidepressants usually do not improve symptoms and function in chronic pain patients Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_5_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][5]\" value=\"5\" required><label for=\"wpforms-122-field_7_5_5\"><span class=\"wpforms-screen-reader-element\">5. Antidepressants usually do not improve symptoms and function in chronic pain patients Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>6. Cognitive behavioral therapy is very effective in chronic pain management and should be applied as early as possible in the treatment plan for most chronic pain patients<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][6]\" value=\"1\" required><label for=\"wpforms-122-field_7_6_1\"><span class=\"wpforms-screen-reader-element\">6. Cognitive behavioral therapy is very effective in chronic pain management and should be applied as early as possible in the treatment plan for most chronic pain patients Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][6]\" value=\"2\" required><label for=\"wpforms-122-field_7_6_2\"><span class=\"wpforms-screen-reader-element\">6. Cognitive behavioral therapy is very effective in chronic pain management and should be applied as early as possible in the treatment plan for most chronic pain patients Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][6]\" value=\"3\" required><label for=\"wpforms-122-field_7_6_3\"><span class=\"wpforms-screen-reader-element\">6. Cognitive behavioral therapy is very effective in chronic pain management and should be applied as early as possible in the treatment plan for most chronic pain patients Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][6]\" value=\"4\" required><label for=\"wpforms-122-field_7_6_4\"><span class=\"wpforms-screen-reader-element\">6. Cognitive behavioral therapy is very effective in chronic pain management and should be applied as early as possible in the treatment plan for most chronic pain patients Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_6_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][6]\" value=\"5\" required><label for=\"wpforms-122-field_7_6_5\"><span class=\"wpforms-screen-reader-element\">6. Cognitive behavioral therapy is very effective in chronic pain management and should be applied as early as possible in the treatment plan for most chronic pain patients Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>7. I feel comfortable calculating conversion doses of commonly used opioids<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][7]\" value=\"1\" required><label for=\"wpforms-122-field_7_7_1\"><span class=\"wpforms-screen-reader-element\">7. I feel comfortable calculating conversion doses of commonly used opioids Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][7]\" value=\"2\" required><label for=\"wpforms-122-field_7_7_2\"><span class=\"wpforms-screen-reader-element\">7. I feel comfortable calculating conversion doses of commonly used opioids Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][7]\" value=\"3\" required><label for=\"wpforms-122-field_7_7_3\"><span class=\"wpforms-screen-reader-element\">7. I feel comfortable calculating conversion doses of commonly used opioids Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][7]\" value=\"4\" required><label for=\"wpforms-122-field_7_7_4\"><span class=\"wpforms-screen-reader-element\">7. I feel comfortable calculating conversion doses of commonly used opioids Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_7_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][7]\" value=\"5\" required><label for=\"wpforms-122-field_7_7_5\"><span class=\"wpforms-screen-reader-element\">7. I feel comfortable calculating conversion doses of commonly used opioids Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>8. Long-term use of NSAIDs in the management of chronic pain has higher risk for tissue damage, morbidity, and mortality than long-term use of opioids<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_8_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][8]\" value=\"1\" required><label for=\"wpforms-122-field_7_8_1\"><span class=\"wpforms-screen-reader-element\">8. Long-term use of NSAIDs in the management of chronic pain has higher risk for tissue damage, morbidity, and mortality than long-term use of opioids Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_8_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][8]\" value=\"2\" required><label for=\"wpforms-122-field_7_8_2\"><span class=\"wpforms-screen-reader-element\">8. Long-term use of NSAIDs in the management of chronic pain has higher risk for tissue damage, morbidity, and mortality than long-term use of opioids Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_8_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][8]\" value=\"3\" required><label for=\"wpforms-122-field_7_8_3\"><span class=\"wpforms-screen-reader-element\">8. Long-term use of NSAIDs in the management of chronic pain has higher risk for tissue damage, morbidity, and mortality than long-term use of opioids Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_8_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][8]\" value=\"4\" required><label for=\"wpforms-122-field_7_8_4\"><span class=\"wpforms-screen-reader-element\">8. Long-term use of NSAIDs in the management of chronic pain has higher risk for tissue damage, morbidity, and mortality than long-term use of opioids Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_8_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][8]\" value=\"5\" required><label for=\"wpforms-122-field_7_8_5\"><span class=\"wpforms-screen-reader-element\">8. Long-term use of NSAIDs in the management of chronic pain has higher risk for tissue damage, morbidity, and mortality than long-term use of opioids Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>9. There is good medical evidence that interdisciplinary treatment of back pain is effective in reducing disability, pain levels, and in returning patients to work<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_9_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][9]\" value=\"1\" required><label for=\"wpforms-122-field_7_9_1\"><span class=\"wpforms-screen-reader-element\">9. There is good medical evidence that interdisciplinary treatment of back pain is effective in reducing disability, pain levels, and in returning patients to work Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_9_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][9]\" value=\"2\" required><label for=\"wpforms-122-field_7_9_2\"><span class=\"wpforms-screen-reader-element\">9. There is good medical evidence that interdisciplinary treatment of back pain is effective in reducing disability, pain levels, and in returning patients to work Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_9_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][9]\" value=\"3\" required><label for=\"wpforms-122-field_7_9_3\"><span class=\"wpforms-screen-reader-element\">9. There is good medical evidence that interdisciplinary treatment of back pain is effective in reducing disability, pain levels, and in returning patients to work Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_9_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][9]\" value=\"4\" required><label for=\"wpforms-122-field_7_9_4\"><span class=\"wpforms-screen-reader-element\">9. There is good medical evidence that interdisciplinary treatment of back pain is effective in reducing disability, pain levels, and in returning patients to work Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_9_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][9]\" value=\"5\" required><label for=\"wpforms-122-field_7_9_5\"><span class=\"wpforms-screen-reader-element\">9. There is good medical evidence that interdisciplinary treatment of back pain is effective in reducing disability, pain levels, and in returning patients to work Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>10. I believe that chronic pain of unknown cause should not be treated with opioids even if this is the only way to obtain pain relief<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_10_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][10]\" value=\"1\" required><label for=\"wpforms-122-field_7_10_1\"><span class=\"wpforms-screen-reader-element\">10. I believe that chronic pain of unknown cause should not be treated with opioids even if this is the only way to obtain pain relief Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_10_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][10]\" value=\"2\" required><label for=\"wpforms-122-field_7_10_2\"><span class=\"wpforms-screen-reader-element\">10. I believe that chronic pain of unknown cause should not be treated with opioids even if this is the only way to obtain pain relief Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_10_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][10]\" value=\"3\" required><label for=\"wpforms-122-field_7_10_3\"><span class=\"wpforms-screen-reader-element\">10. I believe that chronic pain of unknown cause should not be treated with opioids even if this is the only way to obtain pain relief Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_10_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][10]\" value=\"4\" required><label for=\"wpforms-122-field_7_10_4\"><span class=\"wpforms-screen-reader-element\">10. I believe that chronic pain of unknown cause should not be treated with opioids even if this is the only way to obtain pain relief Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_10_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][10]\" value=\"5\" required><label for=\"wpforms-122-field_7_10_5\"><span class=\"wpforms-screen-reader-element\">10. I believe that chronic pain of unknown cause should not be treated with opioids even if this is the only way to obtain pain relief Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>11. Under Canadian federal regulations, it is not lawful to prescribe an opioid to treat pain in a patient with a diagnosed substance use disorder<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_11_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][11]\" value=\"1\" required><label for=\"wpforms-122-field_7_11_1\"><span class=\"wpforms-screen-reader-element\">11. Under Canadian federal regulations, it is not lawful to prescribe an opioid to treat pain in a patient with a diagnosed substance use disorder Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_11_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][11]\" value=\"2\" required><label for=\"wpforms-122-field_7_11_2\"><span class=\"wpforms-screen-reader-element\">11. Under Canadian federal regulations, it is not lawful to prescribe an opioid to treat pain in a patient with a diagnosed substance use disorder Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_11_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][11]\" value=\"3\" required><label for=\"wpforms-122-field_7_11_3\"><span class=\"wpforms-screen-reader-element\">11. Under Canadian federal regulations, it is not lawful to prescribe an opioid to treat pain in a patient with a diagnosed substance use disorder Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_11_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][11]\" value=\"4\" required><label for=\"wpforms-122-field_7_11_4\"><span class=\"wpforms-screen-reader-element\">11. Under Canadian federal regulations, it is not lawful to prescribe an opioid to treat pain in a patient with a diagnosed substance use disorder Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_11_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][11]\" value=\"5\" required><label for=\"wpforms-122-field_7_11_5\"><span class=\"wpforms-screen-reader-element\">11. Under Canadian federal regulations, it is not lawful to prescribe an opioid to treat pain in a patient with a diagnosed substance use disorder Strongly Agree<\/span><\/label><\/div><\/td><\/tr><tr><th>12. I know how to obtain information about both provincial and federal requirements for prescribing opioids<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_12_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][12]\" value=\"1\" required><label for=\"wpforms-122-field_7_12_1\"><span class=\"wpforms-screen-reader-element\">12. I know how to obtain information about both provincial and federal requirements for prescribing opioids Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_12_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][12]\" value=\"2\" required><label for=\"wpforms-122-field_7_12_2\"><span class=\"wpforms-screen-reader-element\">12. I know how to obtain information about both provincial and federal requirements for prescribing opioids Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_7_12_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][12]\" value=\"3\" required><label for=\"wpforms-122-field_7_12_3\"><span class=\"wpforms-screen-reader-element\">12. I know how to obtain information about both provincial and federal requirements for prescribing opioids Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_12_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][12]\" value=\"4\" required><label for=\"wpforms-122-field_7_12_4\"><span class=\"wpforms-screen-reader-element\">12. I know how to obtain information about both provincial and federal requirements for prescribing opioids Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_7_12_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][7][12]\" value=\"5\" required><label for=\"wpforms-122-field_7_12_5\"><span class=\"wpforms-screen-reader-element\">12. I know how to obtain information about both provincial and federal requirements for prescribing opioids Strongly Agree<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<div class=\"wpforms-field-description\">From the validated KnowPain-12 Questionnaire:\r\n<br>\r\nGordon DB, Loeser JD, Tauben D, Rue T, Stogicza A, Doorenbos A. Development of the KnowPain-12 Pain Management Knowledge Survey. Clin J Pain. Oct 16.2013\r\n<\/div><\/div><div id=\"wpforms-122-field_8-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"8\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"122\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-122-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">A 57-year-old female presents with whole body muscle and joint pain. She was an athletic gymnast through her teens, despite recurrent shoulder and knee dislocations. She also complains of endometriosis, temporomandibular joint dysfunction, and gastroesophageal reflux. On sensory exam, there is pain to light touch in her upper, mid-, and lower back. Which one of the following is the most likely primary diagnosis? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_10\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_10_4\" name=\"wpforms[fields][10]\" value=\"a)\tFibromyalgia\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_10_4\">a)\tFibromyalgia<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_10_5\" name=\"wpforms[fields][10]\" value=\"b)\tHypothyroidism\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_10_5\">b)\tHypothyroidism<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_10_6\" name=\"wpforms[fields][10]\" value=\"c)\tOsteoarthritis\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_10_6\">c)\tOsteoarthritis<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_10_7\" name=\"wpforms[fields][10]\" value=\"d)\tMyofascial pain syndrome\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_10_7\">d)\tMyofascial pain syndrome<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_11-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"11\"><label class=\"wpforms-field-label\">A 45-year-old male presents for assistance with his \u201csciatica\u201d. It began 15 years ago and radiated down his right leg, but is now focused to his lower back area, with no radiation, and \u201cis only better if  I never move\u2026\u201d so he doesn\u2019t. Which one of the following medications is the most appropriate for this patient\u2019s chronic mechanical low back pain? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_11\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_11_4\" name=\"wpforms[fields][11]\" value=\"a)\tBaclofen\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_11_4\">a)\tBaclofen<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_11_5\" name=\"wpforms[fields][11]\" value=\"b) Acetaminophen\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_11_5\">b) Acetaminophen<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_11_6\" name=\"wpforms[fields][11]\" value=\"c) Nabilone\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_11_6\">c) Nabilone<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_11_7\" name=\"wpforms[fields][11]\" value=\"d)\tDuloxetine\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_11_7\">d)\tDuloxetine<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_12-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"12\"><label class=\"wpforms-field-label\">A 43-year-old male twisted his left ankle playing basketball. Four weeks later, he continued having excruciating pain on the whole left foot with swelling, redness, and extreme tenderness to light touch. Which one of the following is the most likely explanation for his pain? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_12\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_12_4\" name=\"wpforms[fields][12]\" value=\"a)\tGout\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_12_4\">a)\tGout<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_12_5\" name=\"wpforms[fields][12]\" value=\"b)\tComplex Regional Pain Syndrome\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_12_5\">b)\tComplex Regional Pain Syndrome<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_12_6\" name=\"wpforms[fields][12]\" value=\"c)\tPlantar fasciitis\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_12_6\">c)\tPlantar fasciitis<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_12_7\" name=\"wpforms[fields][12]\" value=\"d)\tDeep vein thrombosis\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_12_7\">d)\tDeep vein thrombosis<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Along with Psychological, what are the other two Ps of chronic pain management? (Select 2) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_13\" class=\"wpforms-field-required\" data-choice-limit=\"2\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_13_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"a)\tPathophysiological\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_13_4\">a)\tPathophysiological<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_13_5\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"b)\tPharmacological\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_13_5\">b)\tPharmacological<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_13_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"c)\tPhysical\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_13_6\">c)\tPhysical<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_13_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"d)\tPrevention\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_13_7\">d)\tPrevention<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_13_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][13][]\" value=\"e)\tProlotherapy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_13_8\">e)\tProlotherapy<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_14-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"14\"><label class=\"wpforms-field-label\">A 68-year-old woman has headaches, neuropathic pain, anxiety, and sleep disorder. She currently uses sumatriptan for her migraines, escitalopram and buspirone to manage her mood, and trazodone to improve her sleep. She has optimized her non-pharmacological strategies but her pain is still limiting her function. The clinician would like to start a medication for her chronic pain. Which one of the following medications is a good option for her as add-on therapy?   <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_14\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_14_4\" name=\"wpforms[fields][14]\" value=\"a)\tDuloxetine\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_14_4\">a)\tDuloxetine<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_14_5\" name=\"wpforms[fields][14]\" value=\"b)\tNortriptyline\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_14_5\">b)\tNortriptyline<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_14_6\" name=\"wpforms[fields][14]\" value=\"c)\tPregabalin\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_14_6\">c)\tPregabalin<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_14_7\" name=\"wpforms[fields][14]\" value=\"d)\tVenlafaxine\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_14_7\">d)\tVenlafaxine<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">A 64-year-old man has chronic low back pain and diabetic neuropathic pain. He has a private drug plan and has been on oxycodone with acetaminophen for 15 years. His medical history includes insomnia, diabetes, benign prosthetic hypertrophy, renal dysfunction, and hypertension. The combination oxycodone with acetaminophen is no longer providing him with functional benefit or pain relief. Which one of the following is an appropriate medication he could try instead of the oxycodone with acetaminophen? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_15\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_15_4\" name=\"wpforms[fields][15]\" value=\"a)\tAmitriptyline\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_15_4\">a)\tAmitriptyline<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_15_5\" name=\"wpforms[fields][15]\" value=\"b)\tNaproxen\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_15_5\">b)\tNaproxen<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_15_6\" name=\"wpforms[fields][15]\" value=\"c)\tCodeine\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_15_6\">c)\tCodeine<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_15_7\" name=\"wpforms[fields][15]\" value=\"d)\tBuprenorphine patch\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_15_7\">d)\tBuprenorphine patch<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\">A 70-year-old male complains of a 2-year gradual onset of right buttock and radiating leg pain, numbness, and weakness. The symptoms are worse when standing and walking. After walking for 10 -15 min he needs to sit down and feels immediately better.  Physical examination revealed full lumbar flexion and negative straight leg raising with mild weakness of the dorsiflexors of the right foot. Which one of the following is the most likely diagnosis? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_16\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_16_4\" name=\"wpforms[fields][16]\" value=\"a)\tNeurogenic claudication\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_16_4\">a)\tNeurogenic claudication<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_16_5\" name=\"wpforms[fields][16]\" value=\"b)\tLumbar disc herniation\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_16_5\">b)\tLumbar disc herniation<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_16_6\" name=\"wpforms[fields][16]\" value=\"c)\tFacet syndrome\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_16_6\">c)\tFacet syndrome<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_16_7\" name=\"wpforms[fields][16]\" value=\"d)\tDegenerative back pain\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_16_7\">d)\tDegenerative back pain<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_17-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"17\"><label class=\"wpforms-field-label\">A 50-year-old female was involved in a car collision and injured her back 2 years ago. A lumbar MRI was negative at that time. She has been off work for over 1 year but her goal is to return to work. She has gained weight, and now suffers from headaches, depression, and insomnia. She stopped exercising 6 months ago because of the pain and is afraid to start again. Medication no longer seems to help. Which one of the following is the best management plan to recommend to her? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_17\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_17_4\" name=\"wpforms[fields][17]\" value=\"a)\tIncrease the dose of the pain medication\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_17_4\">a)\tIncrease the dose of the pain medication<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_17_5\" name=\"wpforms[fields][17]\" value=\"b)\tAddress pain avoidance behaviours\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_17_5\">b)\tAddress pain avoidance behaviours<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_17_6\" name=\"wpforms[fields][17]\" value=\"c)\tStart a weight loss program\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_17_6\">c)\tStart a weight loss program<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_17_7\" name=\"wpforms[fields][17]\" value=\"d)\tRepeat the MRI of the lumbar spine\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_17_7\">d)\tRepeat the MRI of the lumbar spine<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_18-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"18\"><label class=\"wpforms-field-label\">A 39-year-old male is overwhelmed as he is waking up with severe, headache, neck, and low back pain. The pain is most intense when he wakes up in the morning. Sleep medications help him to fall asleep but have had no impact on his waking pain. Which one of the following is the BEST NEXT step?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_18\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_18_4\" name=\"wpforms[fields][18]\" value=\"a)\tProvide him with education about sleep hygiene\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_18_4\">a)\tProvide him with education about sleep hygiene<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_18_5\" name=\"wpforms[fields][18]\" value=\"b)\tRefer him back to the family doctor to order a sleep study\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_18_5\">b)\tRefer him back to the family doctor to order a sleep study<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_18_6\" name=\"wpforms[fields][18]\" value=\"c)\tRecommend he use pillows to support his posture during sleep\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_18_6\">c)\tRecommend he use pillows to support his posture during sleep<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_18_7\" name=\"wpforms[fields][18]\" value=\"d)\tRecommend he change his sleeping aid medication\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_18_7\">d)\tRecommend he change his sleeping aid medication<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">A 60-year-old female is experiencing significant chronic shoulder and elbow pain. It has worsened with the pandemic and social distancing restrictions. She works for a tech company and now works long hours from home. Which one of the following should be advised FIRST to alleviate her pain? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_19\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_19_4\" name=\"wpforms[fields][19]\" value=\"a)\tRefer to a Registered Massage Therapist\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_19_4\">a)\tRefer to a Registered Massage Therapist<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_19_5\" name=\"wpforms[fields][19]\" value=\"b)\tHome workplace ergonomics assessment\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_19_5\">b)\tHome workplace ergonomics assessment<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_19_6\" name=\"wpforms[fields][19]\" value=\"c)\tRe-assess pain medications\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_19_6\">c)\tRe-assess pain medications<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_19_7\" name=\"wpforms[fields][19]\" value=\"d)\tAdvise her to buy a shoulder brace\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_19_7\">d)\tAdvise her to buy a shoulder brace<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"20\"><label class=\"wpforms-field-label\">A 42-year-old female, otherwise healthy, works from home full-time and is currently breastfeeding her 15-month old child. She has had pain according to the pattern in the diagram for the past six months. Which one of the following is the most likely diagnosis? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_20\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_20_4\" name=\"wpforms[fields][20]\" value=\"a)\tC7 Radiculopathy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_20_4\">a)\tC7 Radiculopathy<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_20_5\" name=\"wpforms[fields][20]\" value=\"b)\tRotator cuff tear\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_20_5\">b)\tRotator cuff tear<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_20_6\" name=\"wpforms[fields][20]\" value=\"c)\tRhomboids and scalenes myofascial trigger points\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_20_6\">c)\tRhomboids and scalenes myofascial trigger points<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_20_7\" name=\"wpforms[fields][20]\" value=\"d)\tFibromyalgia\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_20_7\">d)\tFibromyalgia<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_21-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"21\"><div id=\"wpforms-122-field_21\"><img decoding=\"async\" src=\"https:\/\/echopaincanada.ca\/wp-content\/uploads\/2021\/07\/Q-Diagram-42yo.png\" <\/img\/><\/div><\/div><div id=\"wpforms-122-field_22-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Is the following statement true or false, regarding patients with chronic pain? A screening for psychological risk factors and psychiatric comorbidities is indicated only in high risk groups of patients such as those with a history of past or current psychiatric illness. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_22\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_22_1\" name=\"wpforms[fields][22]\" value=\"True\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_22_1\">True<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_22_2\" name=\"wpforms[fields][22]\" value=\"False\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_22_2\">False<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_23-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"23\"><label class=\"wpforms-field-label\">A patient with chronic pain has a positive screen for depression. Which one of the following is the most appropriate next step? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_23\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_23_4\" name=\"wpforms[fields][23]\" value=\"a.\tStart an antidepressant that also has analgesic effects and refer to psychiatry\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_23_4\">a.\tStart an antidepressant that also has analgesic effects and refer to psychiatry<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_23_5\" name=\"wpforms[fields][23]\" value=\"b.\tStart an antidepressant that also has analgesic effects and refer for CBT for depression\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_23_5\">b.\tStart an antidepressant that also has analgesic effects and refer for CBT for depression<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_23_6\" name=\"wpforms[fields][23]\" value=\"c.\tDo a thorough evaluation of mood and safety assessment\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_23_6\">c.\tDo a thorough evaluation of mood and safety assessment<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_23_7\" name=\"wpforms[fields][23]\" value=\"d.\tDiscuss the positive screen with the patient and send them to the emergency department\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_23_7\">d.\tDiscuss the positive screen with the patient and send them to the emergency department<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_24-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"24\"><label class=\"wpforms-field-label\">A 35-year-old male says that he is convinced that his back pain is from a slipped disc and that he needs back surgery. The clinician has completed a full history and physical exam and does not see a surgical indication. Which one of the following should the clinician do next? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_24\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_24_4\" name=\"wpforms[fields][24]\" value=\"a)\tRefer to a back surgeon so that the patient can hear from them that he doesn\u2019t need surgery\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_24_4\">a)\tRefer to a back surgeon so that the patient can hear from them that he doesn\u2019t need surgery<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_24_5\" name=\"wpforms[fields][24]\" value=\"b)\tRefer the patient to a physiotherapist for back pain education and exercises\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_24_5\">b)\tRefer the patient to a physiotherapist for back pain education and exercises<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_24_6\" name=\"wpforms[fields][24]\" value=\"c)\tExplain to the patient that many patients with the exact same problems that get better without surgery\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_24_6\">c)\tExplain to the patient that many patients with the exact same problems that get better without surgery<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_24_7\" name=\"wpforms[fields][24]\" value=\"d)\tLearn more about why he feels that he needs surgery\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_24_7\">d)\tLearn more about why he feels that he needs surgery<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><label class=\"wpforms-field-label\">A patient with chronic pain is taking 40mg oral (PO) oxycodone long-acting q.12.h. The physician will switch this patient to hydromorphone oral long-acting. Which one of the following is the most appropriate first prescription of hydromorphone? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_25\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_25_4\" name=\"wpforms[fields][25]\" value=\"a)\tHydromorphone 3mg PO q.12.h\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_25_4\">a)\tHydromorphone 3mg PO q.12.h<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_25_5\" name=\"wpforms[fields][25]\" value=\"b)\tHydromorphone 6 mg PO q.12.h\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_25_5\">b)\tHydromorphone 6 mg PO q.12.h<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_25_6\" name=\"wpforms[fields][25]\" value=\"c)\tHydromorphone 12 mg PO q.12.h\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_25_6\">c)\tHydromorphone 12 mg PO q.12.h<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_25_7\" name=\"wpforms[fields][25]\" value=\"d)\tHydromorphone 24 mg PO q.12.h\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_25_7\">d)\tHydromorphone 24 mg PO q.12.h<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"26\"><label class=\"wpforms-field-label\">A 39-year-old female has fibromyalgia and depression. She has been on opioids, benzodiazepines, smoking THC, and using CBD oils. She comes to a physiotherapy session and falls asleep in the middle of the exercise. The physiotherapist tries to wake her but she is breathing very slowly and unable to wake up. Which one of the following is the BEST next step? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_26\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_26_4\" name=\"wpforms[fields][26]\" value=\"a)\tLet her take a nap for a few minutes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_26_4\">a)\tLet her take a nap for a few minutes<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_26_5\" name=\"wpforms[fields][26]\" value=\"b)\tCheck if she has naloxone kit and administer to her\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_26_5\">b)\tCheck if she has naloxone kit and administer to her<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_26_6\" name=\"wpforms[fields][26]\" value=\"c)\tUse the on-site defibrillator (AED)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_26_6\">c)\tUse the on-site defibrillator (AED)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_26_7\" name=\"wpforms[fields][26]\" value=\"d)\tCall her doctor and obtain more information\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_26_7\">d)\tCall her doctor and obtain more information<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_27-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"27\"><label class=\"wpforms-field-label\">Which one of the following statements describes the use of the term pseudo-addiction in the differential diagnosis? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_27\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_27_4\" name=\"wpforms[fields][27]\" value=\"a)\tIt is a term currently accepted as part of a differential diagnosis for problematic opioid use\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_27_4\">a)\tIt is a term currently accepted as part of a differential diagnosis for problematic opioid use<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_27_5\" name=\"wpforms[fields][27]\" value=\"b)\tIt is a term currently accepted in the differential diagnosis of opioid-induced hyperalgesia\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_27_5\">b)\tIt is a term currently accepted in the differential diagnosis of opioid-induced hyperalgesia<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_27_6\" name=\"wpforms[fields][27]\" value=\"c)\tIt is a term previously accepted as part of a differential diagnosis for problematic opioid use\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_27_6\">c)\tIt is a term previously accepted as part of a differential diagnosis for problematic opioid use<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_27_7\" name=\"wpforms[fields][27]\" value=\"d)\tIt is a term previously accepted as part of a differential diagnosis for opioid- induced hyperalgesia\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_27_7\">d)\tIt is a term previously accepted as part of a differential diagnosis for opioid- induced hyperalgesia<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_28-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"28\"><label class=\"wpforms-field-label\">Which one of the following is the current situation related to approval and use of sublingual buprenorphine\/naloxone in Canada? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_28\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_28_4\" name=\"wpforms[fields][28]\" value=\"a)\tIt is not approved\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_28_4\">a)\tIt is not approved<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_28_5\" name=\"wpforms[fields][28]\" value=\"b)\tIt is approved for the treatment of moderate-to-severe chronic non-cancer pain\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_28_5\">b)\tIt is approved for the treatment of moderate-to-severe chronic non-cancer pain<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_28_6\" name=\"wpforms[fields][28]\" value=\"c)\tIt is approved for the treatment of moderate-to-severe chronic non-cancer pain and for substitution treatment in adults with problematic opioid drug dependence\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_28_6\">c)\tIt is approved for the treatment of moderate-to-severe chronic non-cancer pain and for substitution treatment in adults with problematic opioid drug dependence<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_28_7\" name=\"wpforms[fields][28]\" value=\"d)\tIt is approved for substitution treatment in adults with problematic opioid drug dependence\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_28_7\">d)\tIt is approved for substitution treatment in adults with problematic opioid drug dependence<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_29-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"29\"><label class=\"wpforms-field-label\">A 52-year-old female patient with neck pain has been prescribed short-acting oxycodone with acetaminophen for the past 3 years. In the past year she was involved in two motor vehicle accidents, as the driver, because she was too drowsy. Whenever she tries to cut down the oxycodone, the neck pain gets worse and she has diarrhea. Occasionally, when she is having a stressful experience, she will have cravings for the oxycocet. As per DSM-V, which one of the following describes her situation with respect to the criteria for opioid-use disorder?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_29\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_29_4\" name=\"wpforms[fields][29]\" value=\"a)\tShe fits the criteria of mild opioid use disorder\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_29_4\">a)\tShe fits the criteria of mild opioid use disorder<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_29_5\" name=\"wpforms[fields][29]\" value=\"b)\tShe fits the criteria of moderate opioid use disorder\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_29_5\">b)\tShe fits the criteria of moderate opioid use disorder<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_29_6\" name=\"wpforms[fields][29]\" value=\"c)\tShe fits the criteria of severe opioid use disorder\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_29_6\">c)\tShe fits the criteria of severe opioid use disorder<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_29_7\" name=\"wpforms[fields][29]\" value=\"d)\tShe does not fit the criteria of opioid use disorder\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_29_7\">d)\tShe does not fit the criteria of opioid use disorder<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_30-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"30\"><label class=\"wpforms-field-label\">A patient diagnosed with opioid use disorder is on a stable dose of 24mg sublingual buprenorphine\/naloxone daily. She has undergone a dental extraction. Which one of the following is the most appropriate management of the post-procedure dental pain? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_30\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_30_4\" name=\"wpforms[fields][30]\" value=\"a)\tAdd another 4 mg of sublingual buprenorphine\/naloxone\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_30_4\">a)\tAdd another 4 mg of sublingual buprenorphine\/naloxone<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_30_5\" name=\"wpforms[fields][30]\" value=\"b)\tAdd 5 mg short-acting oxycodone as needed, up to 3 tablets per day q8h up to 7 days\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_30_5\">b)\tAdd 5 mg short-acting oxycodone as needed, up to 3 tablets per day q8h up to 7 days<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_30_6\" name=\"wpforms[fields][30]\" value=\"c)\tAdd ice application several times a day for 10-15 min and ibuprofen\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_30_6\">c)\tAdd ice application several times a day for 10-15 min and ibuprofen<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-122-field_30_7\" name=\"wpforms[fields][30]\" value=\"d)\tOrder a urine drug screen before prescribing any opioid medications\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_30_7\">d)\tOrder a urine drug screen before prescribing any opioid medications<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_31-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"31\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"122\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-122-field_33-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"33\"><label class=\"wpforms-field-label\">Before Starting Opioid Therapy, in what percentage of your patients with Chronic Non-Cancer Pain do you do the following?:  <span class=\"wpforms-required-label\">*<\/span><\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:16%;\">Never<\/th><th style=\"width:16%;\">Less than 25%<\/th><th style=\"width:16%;\">25-75%<\/th><th style=\"width:16%;\">More than 75%<\/th><th style=\"width:16%;\">Always<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>Explain potential harms of long-term opioid therapy<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][1]\" value=\"1\" required><label for=\"wpforms-122-field_33_1_1\"><span class=\"wpforms-screen-reader-element\">Explain potential harms of long-term opioid therapy Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][1]\" value=\"2\" required><label for=\"wpforms-122-field_33_1_2\"><span class=\"wpforms-screen-reader-element\">Explain potential harms of long-term opioid therapy Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][1]\" value=\"3\" required><label for=\"wpforms-122-field_33_1_3\"><span class=\"wpforms-screen-reader-element\">Explain potential harms of long-term opioid therapy 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][1]\" value=\"4\" required><label for=\"wpforms-122-field_33_1_4\"><span class=\"wpforms-screen-reader-element\">Explain potential harms of long-term opioid therapy More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_1_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][1]\" value=\"5\" required><label for=\"wpforms-122-field_33_1_5\"><span class=\"wpforms-screen-reader-element\">Explain potential harms of long-term opioid therapy Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Be sure to prescribe a dose less than 50mg morphine equivalents daily<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][2]\" value=\"1\" required><label for=\"wpforms-122-field_33_2_1\"><span class=\"wpforms-screen-reader-element\">Be sure to prescribe a dose less than 50mg morphine equivalents daily Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][2]\" value=\"2\" required><label for=\"wpforms-122-field_33_2_2\"><span class=\"wpforms-screen-reader-element\">Be sure to prescribe a dose less than 50mg morphine equivalents daily Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][2]\" value=\"3\" required><label for=\"wpforms-122-field_33_2_3\"><span class=\"wpforms-screen-reader-element\">Be sure to prescribe a dose less than 50mg morphine equivalents daily 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][2]\" value=\"4\" required><label for=\"wpforms-122-field_33_2_4\"><span class=\"wpforms-screen-reader-element\">Be sure to prescribe a dose less than 50mg morphine equivalents daily More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_2_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][2]\" value=\"5\" required><label for=\"wpforms-122-field_33_2_5\"><span class=\"wpforms-screen-reader-element\">Be sure to prescribe a dose less than 50mg morphine equivalents daily Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Assess for past\/current substance use disorders as well as active psychiatric disorders<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][3]\" value=\"1\" required><label for=\"wpforms-122-field_33_3_1\"><span class=\"wpforms-screen-reader-element\">Assess for past\/current substance use disorders as well as active psychiatric disorders Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][3]\" value=\"2\" required><label for=\"wpforms-122-field_33_3_2\"><span class=\"wpforms-screen-reader-element\">Assess for past\/current substance use disorders as well as active psychiatric disorders Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][3]\" value=\"3\" required><label for=\"wpforms-122-field_33_3_3\"><span class=\"wpforms-screen-reader-element\">Assess for past\/current substance use disorders as well as active psychiatric disorders 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][3]\" value=\"4\" required><label for=\"wpforms-122-field_33_3_4\"><span class=\"wpforms-screen-reader-element\">Assess for past\/current substance use disorders as well as active psychiatric disorders More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_3_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][3]\" value=\"5\" required><label for=\"wpforms-122-field_33_3_5\"><span class=\"wpforms-screen-reader-element\">Assess for past\/current substance use disorders as well as active psychiatric disorders Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Assess patient\u2019s level of function (eg. social, recreational, occupational)<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][4]\" value=\"1\" required><label for=\"wpforms-122-field_33_4_1\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of function (eg. social, recreational, occupational) Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][4]\" value=\"2\" required><label for=\"wpforms-122-field_33_4_2\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of function (eg. social, recreational, occupational) Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][4]\" value=\"3\" required><label for=\"wpforms-122-field_33_4_3\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of function (eg. social, recreational, occupational) 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][4]\" value=\"4\" required><label for=\"wpforms-122-field_33_4_4\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of function (eg. social, recreational, occupational) More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_4_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][4]\" value=\"5\" required><label for=\"wpforms-122-field_33_4_5\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of function (eg. social, recreational, occupational) Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Explain potential benefits of long-term opioid therapy<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][5]\" value=\"1\" required><label for=\"wpforms-122-field_33_5_1\"><span class=\"wpforms-screen-reader-element\">Explain potential benefits of long-term opioid therapy Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][5]\" value=\"2\" required><label for=\"wpforms-122-field_33_5_2\"><span class=\"wpforms-screen-reader-element\">Explain potential benefits of long-term opioid therapy Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][5]\" value=\"3\" required><label for=\"wpforms-122-field_33_5_3\"><span class=\"wpforms-screen-reader-element\">Explain potential benefits of long-term opioid therapy 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][5]\" value=\"4\" required><label for=\"wpforms-122-field_33_5_4\"><span class=\"wpforms-screen-reader-element\">Explain potential benefits of long-term opioid therapy More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_5_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][5]\" value=\"5\" required><label for=\"wpforms-122-field_33_5_5\"><span class=\"wpforms-screen-reader-element\">Explain potential benefits of long-term opioid therapy Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Confirm that the patient has a condition that has been shown to benefit from opioids<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][6]\" value=\"1\" required><label for=\"wpforms-122-field_33_6_1\"><span class=\"wpforms-screen-reader-element\">Confirm that the patient has a condition that has been shown to benefit from opioids Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][6]\" value=\"2\" required><label for=\"wpforms-122-field_33_6_2\"><span class=\"wpforms-screen-reader-element\">Confirm that the patient has a condition that has been shown to benefit from opioids Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][6]\" value=\"3\" required><label for=\"wpforms-122-field_33_6_3\"><span class=\"wpforms-screen-reader-element\">Confirm that the patient has a condition that has been shown to benefit from opioids 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][6]\" value=\"4\" required><label for=\"wpforms-122-field_33_6_4\"><span class=\"wpforms-screen-reader-element\">Confirm that the patient has a condition that has been shown to benefit from opioids More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_6_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][6]\" value=\"5\" required><label for=\"wpforms-122-field_33_6_5\"><span class=\"wpforms-screen-reader-element\">Confirm that the patient has a condition that has been shown to benefit from opioids Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Have patient sign a treatment agreement<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][7]\" value=\"1\" required><label for=\"wpforms-122-field_33_7_1\"><span class=\"wpforms-screen-reader-element\">Have patient sign a treatment agreement Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][7]\" value=\"2\" required><label for=\"wpforms-122-field_33_7_2\"><span class=\"wpforms-screen-reader-element\">Have patient sign a treatment agreement Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][7]\" value=\"3\" required><label for=\"wpforms-122-field_33_7_3\"><span class=\"wpforms-screen-reader-element\">Have patient sign a treatment agreement 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][7]\" value=\"4\" required><label for=\"wpforms-122-field_33_7_4\"><span class=\"wpforms-screen-reader-element\">Have patient sign a treatment agreement More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_7_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][7]\" value=\"5\" required><label for=\"wpforms-122-field_33_7_5\"><span class=\"wpforms-screen-reader-element\">Have patient sign a treatment agreement Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Assess patient\u2019s level of pain intensity using a scale<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_8_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][8]\" value=\"1\" required><label for=\"wpforms-122-field_33_8_1\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of pain intensity using a scale Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_8_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][8]\" value=\"2\" required><label for=\"wpforms-122-field_33_8_2\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of pain intensity using a scale Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_8_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][8]\" value=\"3\" required><label for=\"wpforms-122-field_33_8_3\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of pain intensity using a scale 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_8_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][8]\" value=\"4\" required><label for=\"wpforms-122-field_33_8_4\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of pain intensity using a scale More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_8_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][8]\" value=\"5\" required><label for=\"wpforms-122-field_33_8_5\"><span class=\"wpforms-screen-reader-element\">Assess patient\u2019s level of pain intensity using a scale Always<\/span><\/label><\/div><\/td><\/tr><tr><th>If patient is on benzodiazepine, try to taper them off<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_9_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][9]\" value=\"1\" required><label for=\"wpforms-122-field_33_9_1\"><span class=\"wpforms-screen-reader-element\">If patient is on benzodiazepine, try to taper them off Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_9_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][9]\" value=\"2\" required><label for=\"wpforms-122-field_33_9_2\"><span class=\"wpforms-screen-reader-element\">If patient is on benzodiazepine, try to taper them off Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_9_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][9]\" value=\"3\" required><label for=\"wpforms-122-field_33_9_3\"><span class=\"wpforms-screen-reader-element\">If patient is on benzodiazepine, try to taper them off 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_9_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][9]\" value=\"4\" required><label for=\"wpforms-122-field_33_9_4\"><span class=\"wpforms-screen-reader-element\">If patient is on benzodiazepine, try to taper them off More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_9_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][9]\" value=\"5\" required><label for=\"wpforms-122-field_33_9_5\"><span class=\"wpforms-screen-reader-element\">If patient is on benzodiazepine, try to taper them off Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Assess risk of addiction using screening tool<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_10_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][10]\" value=\"1\" required><label for=\"wpforms-122-field_33_10_1\"><span class=\"wpforms-screen-reader-element\">Assess risk of addiction using screening tool Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_10_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][10]\" value=\"2\" required><label for=\"wpforms-122-field_33_10_2\"><span class=\"wpforms-screen-reader-element\">Assess risk of addiction using screening tool Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_10_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][10]\" value=\"3\" required><label for=\"wpforms-122-field_33_10_3\"><span class=\"wpforms-screen-reader-element\">Assess risk of addiction using screening tool 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_10_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][10]\" value=\"4\" required><label for=\"wpforms-122-field_33_10_4\"><span class=\"wpforms-screen-reader-element\">Assess risk of addiction using screening tool More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_10_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][10]\" value=\"5\" required><label for=\"wpforms-122-field_33_10_5\"><span class=\"wpforms-screen-reader-element\">Assess risk of addiction using screening tool Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Perform urine drug screening<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_11_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][11]\" value=\"1\" required><label for=\"wpforms-122-field_33_11_1\"><span class=\"wpforms-screen-reader-element\">Perform urine drug screening Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_11_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][11]\" value=\"2\" required><label for=\"wpforms-122-field_33_11_2\"><span class=\"wpforms-screen-reader-element\">Perform urine drug screening Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_11_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][11]\" value=\"3\" required><label for=\"wpforms-122-field_33_11_3\"><span class=\"wpforms-screen-reader-element\">Perform urine drug screening 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_11_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][11]\" value=\"4\" required><label for=\"wpforms-122-field_33_11_4\"><span class=\"wpforms-screen-reader-element\">Perform urine drug screening More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_11_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][11]\" value=\"5\" required><label for=\"wpforms-122-field_33_11_5\"><span class=\"wpforms-screen-reader-element\">Perform urine drug screening Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Give the patient written information about opioid therapy<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_12_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][12]\" value=\"1\" required><label for=\"wpforms-122-field_33_12_1\"><span class=\"wpforms-screen-reader-element\">Give the patient written information about opioid therapy Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_12_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][12]\" value=\"2\" required><label for=\"wpforms-122-field_33_12_2\"><span class=\"wpforms-screen-reader-element\">Give the patient written information about opioid therapy Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_12_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][12]\" value=\"3\" required><label for=\"wpforms-122-field_33_12_3\"><span class=\"wpforms-screen-reader-element\">Give the patient written information about opioid therapy 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_12_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][12]\" value=\"4\" required><label for=\"wpforms-122-field_33_12_4\"><span class=\"wpforms-screen-reader-element\">Give the patient written information about opioid therapy More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_12_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][12]\" value=\"5\" required><label for=\"wpforms-122-field_33_12_5\"><span class=\"wpforms-screen-reader-element\">Give the patient written information about opioid therapy Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Refer to colleague for assessment<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_13_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][13]\" value=\"1\" required><label for=\"wpforms-122-field_33_13_1\"><span class=\"wpforms-screen-reader-element\">Refer to colleague for assessment Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_13_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][13]\" value=\"2\" required><label for=\"wpforms-122-field_33_13_2\"><span class=\"wpforms-screen-reader-element\">Refer to colleague for assessment Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_13_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][13]\" value=\"3\" required><label for=\"wpforms-122-field_33_13_3\"><span class=\"wpforms-screen-reader-element\">Refer to colleague for assessment 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_13_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][13]\" value=\"4\" required><label for=\"wpforms-122-field_33_13_4\"><span class=\"wpforms-screen-reader-element\">Refer to colleague for assessment More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_13_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][13]\" value=\"5\" required><label for=\"wpforms-122-field_33_13_5\"><span class=\"wpforms-screen-reader-element\">Refer to colleague for assessment Always<\/span><\/label><\/div><\/td><\/tr><tr><th>Conduct formal psychological screening<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Never<\/span><input type=\"radio\" id=\"wpforms-122-field_33_14_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][14]\" value=\"1\" required><label for=\"wpforms-122-field_33_14_1\"><span class=\"wpforms-screen-reader-element\">Conduct formal psychological screening Never<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Less than 25%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_14_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][14]\" value=\"2\" required><label for=\"wpforms-122-field_33_14_2\"><span class=\"wpforms-screen-reader-element\">Conduct formal psychological screening Less than 25%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">25-75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_14_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][14]\" value=\"3\" required><label for=\"wpforms-122-field_33_14_3\"><span class=\"wpforms-screen-reader-element\">Conduct formal psychological screening 25-75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">More than 75%<\/span><input type=\"radio\" id=\"wpforms-122-field_33_14_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][14]\" value=\"4\" required><label for=\"wpforms-122-field_33_14_4\"><span class=\"wpforms-screen-reader-element\">Conduct formal psychological screening More than 75%<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Always<\/span><input type=\"radio\" id=\"wpforms-122-field_33_14_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option wpforms-field-required\" name=\"wpforms[fields][33][14]\" value=\"5\" required><label for=\"wpforms-122-field_33_14_5\"><span class=\"wpforms-screen-reader-element\">Conduct formal psychological screening Always<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<\/div><div id=\"wpforms-122-field_34-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"34\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"5\" data-formid=\"122\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6  \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-122-field_35-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"35\"><label class=\"wpforms-field-label\">What are the facilitators to implementing clinical recommendations provided during ECHO sessions?  Please check all that apply to you:  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_35\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_35_4\" name=\"wpforms[fields][35][]\" value=\"Support from leadership\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_35_4\">Support from leadership<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_35_5\" name=\"wpforms[fields][35][]\" value=\"Potential to decrease work stress\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_35_5\">Potential to decrease work stress<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_35_6\" name=\"wpforms[fields][35][]\" value=\"Patient receptivity\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_35_6\">Patient receptivity<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_35_7\" name=\"wpforms[fields][35][]\" value=\"Usable framework\/ \u2018safety net\u2019\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_35_7\">Usable framework\/ \u2018safety net\u2019<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_35_8\" name=\"wpforms[fields][35][]\" value=\"If available as application or EMR integrated tool\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_35_8\">If available as application or EMR integrated tool<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_35_9\" name=\"wpforms[fields][35][]\" value=\"Other (please specify)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_35_9\">Other (please specify)<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_36-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"36\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_36\">What are the facilitators to implementing clinical recommendations provided during ECHO sessions?  (Other please specify) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-122-field_36\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][36]\" required><\/div><div id=\"wpforms-122-field_37-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"37\"><label class=\"wpforms-field-label\">What are the barriers to implementing clinical recommendations provided during ECHO sessions?  Please check all that apply to you:  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-122-field_37\" class=\"wpforms-field-required\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_4\" name=\"wpforms[fields][37][]\" value=\"Competing demands\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_4\">Competing demands<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_5\" name=\"wpforms[fields][37][]\" value=\"Clinical culture of autonomy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_5\">Clinical culture of autonomy<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_6\" name=\"wpforms[fields][37][]\" value=\"Inadequate data systems\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_6\">Inadequate data systems<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_7\" name=\"wpforms[fields][37][]\" value=\"Lack of resources\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_7\">Lack of resources<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_8\" name=\"wpforms[fields][37][]\" value=\"Time\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_8\">Time<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_9\" name=\"wpforms[fields][37][]\" value=\"Guidelines are labour intensive\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_9\">Guidelines are labour intensive<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_10\" name=\"wpforms[fields][37][]\" value=\"Disagreements with tenets of guidelines\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_10\">Disagreements with tenets of guidelines<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_11\" name=\"wpforms[fields][37][]\" value=\"Difficult to implement\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_11\">Difficult to implement<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_12\" name=\"wpforms[fields][37][]\" value=\"Lack of familiarity of guidelines\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_12\">Lack of familiarity of guidelines<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_13\" name=\"wpforms[fields][37][]\" value=\"Ineffective format of delivery\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_13\">Ineffective format of delivery<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_14\" name=\"wpforms[fields][37][]\" value=\"Not mandated by province\/no fear of audit\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_14\">Not mandated by province\/no fear of audit<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-122-field_37_15\" name=\"wpforms[fields][37][]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-122-field_37_15\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-122-field_38-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"38\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-122-field_38\">What are the barriers to implementing clinical recommendations provided during ECHO sessions? (Other please specify) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-122-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-122-field_39-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"39\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"6\" data-formid=\"122\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-7 last \" data-page=\"7\" style=\"display:none;\"><div id=\"wpforms-122-field_40-container\" class=\"wpforms-field wpforms-field-likert_scale\" data-field-id=\"40\"><label class=\"wpforms-field-label\">This survey was adapted from the University of New Mexico.<\/label>\n\t\t<table class=\"wpforms-field-large modern\">\n\t\t\t<thead>\n\t\t\t\t<tr>\n\t\t\t\t\t<th style=\"width:20%;\"><\/th><th style=\"width:13%;\">Strongly Disagree<\/th><th style=\"width:13%;\">Disagree<\/th><th style=\"width:13%;\">Neutral<\/th><th style=\"width:13%;\">Agree<\/th><th style=\"width:13%;\">Strongly Agree<\/th><th style=\"width:13%;\">Not applicable to my practice<\/th>\t\t\t\t<\/tr>\n\t\t\t<\/thead>\n\t\t\t<tbody>\n\t\t\t\t<tr><th>a) Involvement in Project ECHO was a worthwhile experience for me.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_1_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][1]\" value=\"1\" ><label for=\"wpforms-122-field_40_1_1\"><span class=\"wpforms-screen-reader-element\">a) Involvement in Project ECHO was a worthwhile experience for me. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_1_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][1]\" value=\"2\" ><label for=\"wpforms-122-field_40_1_2\"><span class=\"wpforms-screen-reader-element\">a) Involvement in Project ECHO was a worthwhile experience for me. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_1_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][1]\" value=\"3\" ><label for=\"wpforms-122-field_40_1_3\"><span class=\"wpforms-screen-reader-element\">a) Involvement in Project ECHO was a worthwhile experience for me. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_1_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][1]\" value=\"4\" ><label for=\"wpforms-122-field_40_1_4\"><span class=\"wpforms-screen-reader-element\">a) Involvement in Project ECHO was a worthwhile experience for me. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_1_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][1]\" value=\"5\" ><label for=\"wpforms-122-field_40_1_5\"><span class=\"wpforms-screen-reader-element\">a) Involvement in Project ECHO was a worthwhile experience for me. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_1_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][1]\" value=\"6\" ><label for=\"wpforms-122-field_40_1_6\"><span class=\"wpforms-screen-reader-element\">a) Involvement in Project ECHO was a worthwhile experience for me. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>b) I will recommend involvement in Project ECHO to my colleagues.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_2_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][2]\" value=\"1\" ><label for=\"wpforms-122-field_40_2_1\"><span class=\"wpforms-screen-reader-element\">b) I will recommend involvement in Project ECHO to my colleagues. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_2_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][2]\" value=\"2\" ><label for=\"wpforms-122-field_40_2_2\"><span class=\"wpforms-screen-reader-element\">b) I will recommend involvement in Project ECHO to my colleagues. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_2_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][2]\" value=\"3\" ><label for=\"wpforms-122-field_40_2_3\"><span class=\"wpforms-screen-reader-element\">b) I will recommend involvement in Project ECHO to my colleagues. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_2_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][2]\" value=\"4\" ><label for=\"wpforms-122-field_40_2_4\"><span class=\"wpforms-screen-reader-element\">b) I will recommend involvement in Project ECHO to my colleagues. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_2_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][2]\" value=\"5\" ><label for=\"wpforms-122-field_40_2_5\"><span class=\"wpforms-screen-reader-element\">b) I will recommend involvement in Project ECHO to my colleagues. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_2_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][2]\" value=\"6\" ><label for=\"wpforms-122-field_40_2_6\"><span class=\"wpforms-screen-reader-element\">b) I will recommend involvement in Project ECHO to my colleagues. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_3_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][3]\" value=\"1\" ><label for=\"wpforms-122-field_40_3_1\"><span class=\"wpforms-screen-reader-element\">c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_3_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][3]\" value=\"2\" ><label for=\"wpforms-122-field_40_3_2\"><span class=\"wpforms-screen-reader-element\">c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_3_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][3]\" value=\"3\" ><label for=\"wpforms-122-field_40_3_3\"><span class=\"wpforms-screen-reader-element\">c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_3_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][3]\" value=\"4\" ><label for=\"wpforms-122-field_40_3_4\"><span class=\"wpforms-screen-reader-element\">c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_3_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][3]\" value=\"5\" ><label for=\"wpforms-122-field_40_3_5\"><span class=\"wpforms-screen-reader-element\">c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_3_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][3]\" value=\"6\" ><label for=\"wpforms-122-field_40_3_6\"><span class=\"wpforms-screen-reader-element\">c) I believe that the quality of the care I provide my patients has improved considerably as a result of my involvement in Project ECHO. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>d) The goals and objectives I had upon becoming involved in Project ECHO have been met.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_4_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][4]\" value=\"1\" ><label for=\"wpforms-122-field_40_4_1\"><span class=\"wpforms-screen-reader-element\">d) The goals and objectives I had upon becoming involved in Project ECHO have been met. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_4_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][4]\" value=\"2\" ><label for=\"wpforms-122-field_40_4_2\"><span class=\"wpforms-screen-reader-element\">d) The goals and objectives I had upon becoming involved in Project ECHO have been met. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_4_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][4]\" value=\"3\" ><label for=\"wpforms-122-field_40_4_3\"><span class=\"wpforms-screen-reader-element\">d) The goals and objectives I had upon becoming involved in Project ECHO have been met. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_4_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][4]\" value=\"4\" ><label for=\"wpforms-122-field_40_4_4\"><span class=\"wpforms-screen-reader-element\">d) The goals and objectives I had upon becoming involved in Project ECHO have been met. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_4_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][4]\" value=\"5\" ><label for=\"wpforms-122-field_40_4_5\"><span class=\"wpforms-screen-reader-element\">d) The goals and objectives I had upon becoming involved in Project ECHO have been met. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_4_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][4]\" value=\"6\" ><label for=\"wpforms-122-field_40_4_6\"><span class=\"wpforms-screen-reader-element\">d) The goals and objectives I had upon becoming involved in Project ECHO have been met. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>e) My participation in Project ECHO has enhanced my professional satisfaction.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_5_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][5]\" value=\"1\" ><label for=\"wpforms-122-field_40_5_1\"><span class=\"wpforms-screen-reader-element\">e) My participation in Project ECHO has enhanced my professional satisfaction. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_5_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][5]\" value=\"2\" ><label for=\"wpforms-122-field_40_5_2\"><span class=\"wpforms-screen-reader-element\">e) My participation in Project ECHO has enhanced my professional satisfaction. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_5_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][5]\" value=\"3\" ><label for=\"wpforms-122-field_40_5_3\"><span class=\"wpforms-screen-reader-element\">e) My participation in Project ECHO has enhanced my professional satisfaction. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_5_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][5]\" value=\"4\" ><label for=\"wpforms-122-field_40_5_4\"><span class=\"wpforms-screen-reader-element\">e) My participation in Project ECHO has enhanced my professional satisfaction. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_5_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][5]\" value=\"5\" ><label for=\"wpforms-122-field_40_5_5\"><span class=\"wpforms-screen-reader-element\">e) My participation in Project ECHO has enhanced my professional satisfaction. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_5_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][5]\" value=\"6\" ><label for=\"wpforms-122-field_40_5_6\"><span class=\"wpforms-screen-reader-element\">e) My participation in Project ECHO has enhanced my professional satisfaction. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>f) Project ECHO has diminished my professional isolation.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_6_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][6]\" value=\"1\" ><label for=\"wpforms-122-field_40_6_1\"><span class=\"wpforms-screen-reader-element\">f) Project ECHO has diminished my professional isolation. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_6_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][6]\" value=\"2\" ><label for=\"wpforms-122-field_40_6_2\"><span class=\"wpforms-screen-reader-element\">f) Project ECHO has diminished my professional isolation. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_6_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][6]\" value=\"3\" ><label for=\"wpforms-122-field_40_6_3\"><span class=\"wpforms-screen-reader-element\">f) Project ECHO has diminished my professional isolation. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_6_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][6]\" value=\"4\" ><label for=\"wpforms-122-field_40_6_4\"><span class=\"wpforms-screen-reader-element\">f) Project ECHO has diminished my professional isolation. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_6_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][6]\" value=\"5\" ><label for=\"wpforms-122-field_40_6_5\"><span class=\"wpforms-screen-reader-element\">f) Project ECHO has diminished my professional isolation. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_6_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][6]\" value=\"6\" ><label for=\"wpforms-122-field_40_6_6\"><span class=\"wpforms-screen-reader-element\">f) Project ECHO has diminished my professional isolation. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>g) Collaboration among agencies in Project ECHO is a benefit to my clinic.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_7_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][7]\" value=\"1\" ><label for=\"wpforms-122-field_40_7_1\"><span class=\"wpforms-screen-reader-element\">g) Collaboration among agencies in Project ECHO is a benefit to my clinic. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_7_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][7]\" value=\"2\" ><label for=\"wpforms-122-field_40_7_2\"><span class=\"wpforms-screen-reader-element\">g) Collaboration among agencies in Project ECHO is a benefit to my clinic. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_7_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][7]\" value=\"3\" ><label for=\"wpforms-122-field_40_7_3\"><span class=\"wpforms-screen-reader-element\">g) Collaboration among agencies in Project ECHO is a benefit to my clinic. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_7_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][7]\" value=\"4\" ><label for=\"wpforms-122-field_40_7_4\"><span class=\"wpforms-screen-reader-element\">g) Collaboration among agencies in Project ECHO is a benefit to my clinic. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_7_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][7]\" value=\"5\" ><label for=\"wpforms-122-field_40_7_5\"><span class=\"wpforms-screen-reader-element\">g) Collaboration among agencies in Project ECHO is a benefit to my clinic. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_7_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][7]\" value=\"6\" ><label for=\"wpforms-122-field_40_7_6\"><span class=\"wpforms-screen-reader-element\">g) Collaboration among agencies in Project ECHO is a benefit to my clinic. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_8_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][8]\" value=\"1\" ><label for=\"wpforms-122-field_40_8_1\"><span class=\"wpforms-screen-reader-element\">h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_8_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][8]\" value=\"2\" ><label for=\"wpforms-122-field_40_8_2\"><span class=\"wpforms-screen-reader-element\">h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_8_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][8]\" value=\"3\" ><label for=\"wpforms-122-field_40_8_3\"><span class=\"wpforms-screen-reader-element\">h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_8_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][8]\" value=\"4\" ><label for=\"wpforms-122-field_40_8_4\"><span class=\"wpforms-screen-reader-element\">h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_8_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][8]\" value=\"5\" ><label for=\"wpforms-122-field_40_8_5\"><span class=\"wpforms-screen-reader-element\">h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_8_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][8]\" value=\"6\" ><label for=\"wpforms-122-field_40_8_6\"><span class=\"wpforms-screen-reader-element\">h) Project ECHO has expanded access to effective chronic pain treatment for patients in our community. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>i) Project ECHO has improved the quality and safety of patient care.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_9_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][9]\" value=\"1\" ><label for=\"wpforms-122-field_40_9_1\"><span class=\"wpforms-screen-reader-element\">i) Project ECHO has improved the quality and safety of patient care. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_9_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][9]\" value=\"2\" ><label for=\"wpforms-122-field_40_9_2\"><span class=\"wpforms-screen-reader-element\">i) Project ECHO has improved the quality and safety of patient care. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_9_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][9]\" value=\"3\" ><label for=\"wpforms-122-field_40_9_3\"><span class=\"wpforms-screen-reader-element\">i) Project ECHO has improved the quality and safety of patient care. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_9_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][9]\" value=\"4\" ><label for=\"wpforms-122-field_40_9_4\"><span class=\"wpforms-screen-reader-element\">i) Project ECHO has improved the quality and safety of patient care. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_9_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][9]\" value=\"5\" ><label for=\"wpforms-122-field_40_9_5\"><span class=\"wpforms-screen-reader-element\">i) Project ECHO has improved the quality and safety of patient care. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_9_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][9]\" value=\"6\" ><label for=\"wpforms-122-field_40_9_6\"><span class=\"wpforms-screen-reader-element\">i) Project ECHO has improved the quality and safety of patient care. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>j) Project ECHO has enabled rapid learning and best practice dissemination.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_10_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][10]\" value=\"1\" ><label for=\"wpforms-122-field_40_10_1\"><span class=\"wpforms-screen-reader-element\">j) Project ECHO has enabled rapid learning and best practice dissemination. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_10_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][10]\" value=\"2\" ><label for=\"wpforms-122-field_40_10_2\"><span class=\"wpforms-screen-reader-element\">j) Project ECHO has enabled rapid learning and best practice dissemination. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_10_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][10]\" value=\"3\" ><label for=\"wpforms-122-field_40_10_3\"><span class=\"wpforms-screen-reader-element\">j) Project ECHO has enabled rapid learning and best practice dissemination. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_10_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][10]\" value=\"4\" ><label for=\"wpforms-122-field_40_10_4\"><span class=\"wpforms-screen-reader-element\">j) Project ECHO has enabled rapid learning and best practice dissemination. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_10_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][10]\" value=\"5\" ><label for=\"wpforms-122-field_40_10_5\"><span class=\"wpforms-screen-reader-element\">j) Project ECHO has enabled rapid learning and best practice dissemination. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_10_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][10]\" value=\"6\" ><label for=\"wpforms-122-field_40_10_6\"><span class=\"wpforms-screen-reader-element\">j) Project ECHO has enabled rapid learning and best practice dissemination. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr><tr><th>k) Project ECHO has reduced variations in care.<\/th><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_11_1\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][11]\" value=\"1\" ><label for=\"wpforms-122-field_40_11_1\"><span class=\"wpforms-screen-reader-element\">k) Project ECHO has reduced variations in care. Strongly Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Disagree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_11_2\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][11]\" value=\"2\" ><label for=\"wpforms-122-field_40_11_2\"><span class=\"wpforms-screen-reader-element\">k) Project ECHO has reduced variations in care. Disagree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Neutral<\/span><input type=\"radio\" id=\"wpforms-122-field_40_11_3\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][11]\" value=\"3\" ><label for=\"wpforms-122-field_40_11_3\"><span class=\"wpforms-screen-reader-element\">k) Project ECHO has reduced variations in care. Neutral<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_11_4\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][11]\" value=\"4\" ><label for=\"wpforms-122-field_40_11_4\"><span class=\"wpforms-screen-reader-element\">k) Project ECHO has reduced variations in care. Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Strongly Agree<\/span><input type=\"radio\" id=\"wpforms-122-field_40_11_5\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][11]\" value=\"5\" ><label for=\"wpforms-122-field_40_11_5\"><span class=\"wpforms-screen-reader-element\">k) Project ECHO has reduced variations in care. Strongly Agree<\/span><\/label><\/div><\/td><td><div class=\"wpforms-likert-scale-mobile-flex\"><span class=\"wpforms-likert-scale-mobile-label\">Not applicable to my practice<\/span><input type=\"radio\" id=\"wpforms-122-field_40_11_6\" class=\"wpforms-screen-reader-element wpforms-likert-scale-option\" name=\"wpforms[fields][40][11]\" value=\"6\" ><label for=\"wpforms-122-field_40_11_6\"><span class=\"wpforms-screen-reader-element\">k) Project ECHO has reduced variations in care. Not applicable to my practice<\/span><\/label><\/div><\/td><\/tr>\t\t\t<\/tbody>\n\t\t<\/table>\n\t\t<\/div><div id=\"wpforms-122-field_3-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"3\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"122\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/echopaincanada.ca\/fr\/wp-json\/wp\/v2\/pages\/128\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-122\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<div style=\"height:20px\" 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