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1. Which industry sector do you work in? (Please select at least one.)

Primary care
Secondary care
Private sector
Other

2. If you are a specialist nurse or nurse consultant please indicate your specialist area(s)

Respiratory medicine
Tissue viability
Stoma Care
Oncology
Infection Control
Palliative care
Mental health
Wound care
Diabetes
Travel health
Continence
Cardiovascular disease
Urology
A & E
Dermatology
Women's health
Pain
Neurology


3. In which of the following areas do you see patients, run a clinic or have a special interest? (Please select at least one.)

Aesthetics
Allergy
Asthma
Cardiovascular disease/rehab
Communicable diseases
Continence care
COPD
Dermatology
Diabetes
Diet/nutrition/obesity
Family planning
Haematology
Learning disabilities
Men's health
Mental health
Mother & baby
Neurology
Occupational health
Oncology
Paediatrics
Pain
Palliative care
Sexual health
Smoking cessation
Stoma care
Tissue viability
Travel health
Vaccination
Women's health
Wound care


4. Prescribing qualifications

Community Practitioner Nurse Prescriber (V 100)
Community Practitioner Prescriber without a Specialist Practitioner qualification (V150)
Nurse Independent/Nurse Supplementary Prescriber (V300)
No qualification

5. Are you currently enrolled on a non-medical prescribing course?

Yes No

6. Do you intend to undertake a a non-medical prescribing course?

Yes No

7. In which of the following areas do you prescribe? (Please select at least one.)

Aesthetics
Allergy
Asthma
Cardiovascular disease/rehab
Communicable diseases
Continence care
COPD
Dermatology
Diabetes
Diet/nutrition/obesity
Family planning
Haematology
Learning disabilities
Men's health
Mental health
Mother & baby
Neurology
Occupational health
Oncology
Paediatrics
Pain
Palliative care
Sexual health
Smoking cessation
Stoma care
Tissue viability
Travel health
Vaccination
Women's health
Wound care


8. Are you a member of the Association for Nurse Prescribing (ANP)?

Yes No

9. On average, how many prescriptions do you write in a week?

None
1-10
11-20
21-30
31-40
41-50
51+

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