2
Appendices: Questionnaire
1. What is your age______2. What is your gender Female Male
3. How long have you been practicing medicine? ______years
4. What is your specialty? ______
5. In what city/town/village is your practice/hospital located? ___
6. On average, how many pregnant patients do you care for per year?
% of your practice____
7. Which of the following sources of information do you use the most in your daily
practice? Rank 4 of the following (1 being the most frequently used) sources that are
most frequently used.
Medline (Pubmed) __ Colleagues__ Drug companies___ Medical Textbooks _
Peer reviewed journals___ Media (newspapers, magazines, TV programs, etc)___
CPS __ Patients___
8. Did you do research on your question prior to calling Motherisk Yes No
if yes where did you find the information(state all sources if more than one)_ ___
9. Did you feel that the information given to you by Motherisk was sufficient to
advise your patients accordingly? Yes No
10. Please also answer the following whether you answered yes or no to question (9)
You followed the advice given by Motherisk verbatim Yes No
You did not agree with the advice given Yes No
The information you received was different from what you expected Yes No
Concerning drugs, you prescribed a different/lower dose Yes No
11. Do you routinely distribute the Motherisk phone # or pamphlets to pregnant patients?
most of the time sometimes never
12. In the space below feel free to add any comments about The Motherisk Program that
you would like us to be aware of__
Lessons for practice
1. Physicians do find teratogen information services a valuable resource for reassurance, in counseling their patients about the safety of exposures during pregnancy
2. Physicians should be encouraged to access electronic means such as MEDLINE
and PUBMED especially as most physicians do own a computer.