Name
*
First
Last
Email
*
After participating in this initiative, in what percent of your patients with IBD did you screen for influenza vaccination?
0% of patients
1% - 25%
26% - 50%
51% - 75%
76% - 100%
Did your screening increase influenza vaccination rates in your clinical practice?
I did not screen for influenza vaccination
It resulted in no difference in influenza vaccination rates
Screening somewhat increased influenza vaccination rates
Screening significantly increased influenza vaccination rates
If so, by how much?
After participating in this initiative, in what percent of your patients with IBD did you screen for pneumococcal vaccination?
0% of patients
1% - 25%
26% - 50%
51% - 75%
76% - 100%
Did your screening increase pneumococcal vaccination rates in your clinical practice?
I did not screen for pneumococcal vaccination
It resulted in no difference in pneumococcal vaccination rates
Screening somewhat increased pneumococcal vaccination rates
Screening significantly increased pneumococcal vaccination rates
If so, by how much?
After participating in this initiative, in what percent of you patients with IBD over age 50 did you screen for herpes zoster vaccination?
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
If so, by how much?
While participating in this initiative, in what percent of your patients with IBD did you screen for mental health issues?
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
Did your screening increase the rate of appropriate referrals to mental health services?
I did not screen for mental health issues
It resulted in no difference in referrals to mental health services
Screening somewhat increased referrals to mental health services
Screening significantly increased referrals to mental health services
If so, by how much?
After participating in this initiative, in what percent of your patients with IBD did you assess bone health or order a DEXA scan?
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
After participating in this initiative, in what percent of your patients with IBD did you screen fr or recommend screening for melanoma and non-melanoma skin cancer?
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
After participating in this initiative, in what percent of your female patients with IBD undergoing immunosuppressive therapy did you recommend screening for cervical cancer?
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
After participating in this initiative, in what percent of your patients with iBD id you counsel about smoking cessation?
0%
1% - 25%
26% - 50%
51% - 75%
76% - 100%
Did your counseling decrease smoking rates among your patients with IBD?
Counseling had no impact on smoking rates
Counseling somewhat decreased smoking rates
Counseling significantly decreased smoking rates
If so, by how much?