2011 Pretest Physician Induction Interview

Attachment S: 2011 Pretest-Physician Induction Interview Form

For the 2011 pretest, the 2011 NAMCS physician induction interview form (Attachment F) will be used as a survey template for all sampled physicians/CHC providers. The proposed complementary and alternative medicine (CAM) questions highlighted below will be added to the form for the pretest. It is estimated that the addition of the CAM questions will not change the currently approved burden of 35 minutes for the 2011 physician induction interview form used in this pretest.

Question	Response Category
During the past 12 months, did you use any of the following therapies with your patients? Nonvitamin, nonmineral, dietary supplements Meditation Progressive relaxation or Guided imagery Yoga Massage Therapy Chiropractic or osteopathic manipulation Homeopathic treatment Acupuncture Biofeedback or Hypnosis	Yes No
[For each yes above] Did you use [insert therapy name] for treatment , prevention, or both?	For Treatment For Prevention Both
During the past 12 months, did you refer your patients to other practitioners for the following therapies? Nonvitamin, nonmineral, dietary supplements Meditation Progressive relaxation or Guided imagery Yoga Massage Therapy Chiropractic or osteopathic manipulation Homeopathic treatment Acupuncture Biofeedback or Hypnosis	Yes No
To what extent do you feel the following therapies are beneficial to the health of patients? Nonvitamin, nonmineral, dietary supplements Meditation Progressive relaxation or Guided imagery Yoga Massage Therapy Chiropractic or osteopathic manipulation Homeopathic treatment Acupuncture Biofeedback or Hypnosis	Very beneficial Moderately beneficial Not very beneficial Not at all beneficial
To what extent do you agree that scientific evidence supports the effectiveness of the following therapies? Nonvitamin, nonmineral, dietary supplements Meditation Progressive relaxation or Guided imagery Yoga Massage Therapy Chiropractic or osteopathic manipulation Homeopathic treatment Acupuncture Biofeedback or Hypnosis	Strongly agree Somewhat agree Neither agree nor disagree Somewhat disagree Strongly agree