Appendix B - Screener

FDA Conference Attendees Study

Eligibility Screener

Thank you for your interest in this study. Please answer the following questions to determine if you are eligible to participate.

	Programming Notes. [THESE WILL NOT APPEAR ON THE SCREEN].
S0. Which of the following best describes your role as a healthcare provider? Physician Nurse practitioner Physician assistant Pharmacist Other (please specify)	If pharmacist or other, skip to ineligibility statement.
S1. Are you currently authorized to prescribe medications to patients? Yes No	If no, skip to ineligibility statement.
S2. Did you attend, or are you currently attending, this year’s [CONFERENCE NAME] either in person or virtually? Yes – Attending in person Yes – Attending virtually No	If no, skip to ineligibility statement.
S3. What percentage of your professional time do you spend in direct patient care? Your best estimate is fine. 20% or higher Less than 20%	If less than 20%, skip to ineligibility statement.
S4. Do you work for any of the following organizations (not counting occasional consulting)? U.S. government Pharmaceutical company Biotechnology company None of the above	If federal government, pharmaceutical company, or biotechnology company are selected, skip to ineligibility statement.
S5. This survey will involve watching a video. Do you have any problems with your vision or hearing that would prevent you from seeing or hearing the video? Yes No	If yes, skip to ineligibility statement
Ineligibility statement: Thank you for completing these questions. You are not eligible for this study.

Research authorized by Section 1701(a)(4) of the Public Health Service Act (42 U.S.C. 300u(a)(4)). Confidentiality protected by 5 U.S.C. 552(a) and (b) and 21 CFR part 20.

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