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COVID-19 Impact Survey
This brief survey will be instrumental in gathering data to be used as we continue to work to advance PA legislation here in CT. Please reach out if you have any questions:
connapa@ssgmt.com
.
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* Indicates required question
Which setting do you work in?
*
Hospital
Hospital Owned Outpatient Practice
Physician Owned Private Practice
PA Owned Private Practice
Federally Qualified Health Center
Veteran's Administration/Governmental Entity
Other:
What is your practice setting? (e.g.: internal medicine, primary care, emergency, a sub-specialty, etc.)
*
Your answer
Years in practice
*
1-3
3-5
5-10
10-20
20+
Was your ability to work in your usual position at your normal hours impacted by the pandemic?
*
Yes
No
If yes, were you:
Reduced hours
Furloughed
Laid off permanently
Able to still work, but in a different role
Clear selection
If you chose "Able to still work, but in a different role," please explain:
Your answer
Did Gov. Lamont's executive order which relaxed supervision benefit your ability to be flexible during the pandemic?
*
Yes
No
If so, how? Or if not, why?
Your answer
If supervision has been relaxed for you in any way during the pandemic, can you please describe how?
Your answer
Have you transitioned to, or increased use of, telemedicine or virtual medicine during these times?
*
Yes
No
Personal accounts are important for legislators to hear and read. Are you willing to be contacted to help convey to the legislators your struggles or successes as a result of current legislation (or temporary executive orders)?
Yes
No
Clear selection
If so, please provide your name, email and phone number.
Your answer
Submit
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