Please Answer Each of the Series of Questions on a Scale

1. Engagement in RESEARCH

When newer concepts are emerging, research interests would be characterized as:

i. My personal interest

Eager to get involved••••• No interest

ii. Compared to colleagues at my institution I am

Much more eager ••••• Much less eager

iii. My institution compared to others is

Much more eager ••••• Much less eager

2. Adoption/application of new CLINICAL concepts

When new techniques are emerging, would be characterized as:

i. My personal use

Eager to use ••••• No interest

ii. Compared to colleagues at my institution I am

Much more eager ••••• Much less eager

iii. My institution compared to others is

Much more eager ••••• Much less eager

3. Characterize CLINICAL use of High Frequency Ventilation

a. NeonatalHFV (very low birth weight infants)

i. My personal use

First intention ••••• Only rescue

ii. Compared to colleagues at my institution I am

Much more eager ••••• Much less eager

iii. My institution compared to others is

Much more eager ••••• Much less

b. Pediatric/Term InfantsHFV (ARDS)

i. Personal use

Early ••••• Last choice for rescue

ii. Compared to colleagues at my institution I am

Much more eager ••••• Much less eager

iii. My institution compared to others is

Much more eager ••••• Much less

c. Impact on EARLY USE of HFV from RCT's of Moriette, Johnson and Courtney

i. Personal use

Much more eager ••••• Much less eager

ii. Compared to colleagues at my institution I am

Much more eager ••••• Much less eager

iii. My institution compared to others is

Much more eager ••••• Much less

4. Characterize CLINICAL use of NASAL CPAP

a. Used for weaning infants from mechanical ventilation

i. My personal use

Always ••••• Never

ii. Compared to my colleagues at my institution I am

Much more eager••••• Much less eager

iii. My institution compared to others is

Much more eager ••••• Much less

b. Used to prevent need for mechanical ventilation

i. My personal use

Always ••••• Never

ii Compared to my colleagues at my institution I am

Much more eager ••••• Much less eager

iii. My institution compared to others is

Much more eager••••• Much less eager

SURVEY OF ATTITUDUES TOWARDS THE ADOPTION

OF NEW RESPIRTORY TECHNOLOGY

at EPNV- Montreux 2004

This is a subjective survey designed to assess your general, as well as technique specific relative inclination towards adopting of new respiratory technology. Each question can be answered by circling a dot representing one of five levels of inclination across a defined range. The survey should only take a few minutes to fill out.

You can return the survey to me directly or to one of the meeting organizers or to the conference reception desk.

Country where you practice ______

Physician ______other ______

It is my intention to publish the results of this survey. However, if you would like a preliminary report of these findings please indicate your email address.

______.

Regardless, your specific responses to these questions will be kept confidential.