Anaesthesia Resources on the Internet
Survey Form

This survey was available for use until April 30, 1996
IT IS NOW DISABLED. YOU MAY LOOK, BUT YOU CANNOT ENTER DATA

Results will be published in the Canadian Journal of Anaesthesia in April 1997.

Thank you for taking a few minutes to complete this survey of Anaesthesia Resources on the Internet. If you need more space, or if your browser does not support forms, there's an e-mail address, and a snail-mail address, at the end.

Type of Anaesthetist/Anesthesiologist

NOTE: This form is only for anaesthetists and anesthesiologists (i.e. people who put human patients to sleep for surgery). Others may look, but please do not touch!

Please select the best description of your employment:

If "Other", please specify

Comments

How do you feel about the following comments on the value of the Internet to anaesthetists?

Best Web Sites

How often do you visit the following Web sites, on this scale:

Which are your three favourite anaesthesia Web sites?
You may use the numbers above, or write a name or URL

A)
B)
C)

E-mail

How often do you send an e-mail message about anaesthesia,
again on a scale from 0 (never) to 5 (very frequently e.g. more than once a day)?

How often do you read the following discussion lists,
again on a scale from 0 (never) to 5 (very frequently e.g. more than once a day)?

Which is your favourite anaesthesia mailing list?
You may use the numbers above, or write a name or URL, or "none"

Value of Internet

On a scale from 0 (waste of time) to 5 (invaluable), how do you rate the value of the Internet as a source of information for anaesthetists?

How often do you find useful information about anaesthesia on the Internet?
Never A few times a year A few times a month Several times a week
If you can, please give an example:

How often does that information change they way you practice anaesthesia?
Never A few times a year A few times a month Several times a week
If you can, please give an example:

How could the Internet be made more useful to anaesthetists?

Your Location

Where do you work? Please select the most appropriate type of hospital:


If "None of the above" please specify:

Where in the world do you work? Please select the most appropriate box:


If "Rest of the World" please specify:

What size of community do you work in? Please select the most appropriate box:

About Your Internet Access

Which Web browser do you use? (please give version number if possible)

Does it support tables? Yes No Don't know

How fast is your link to the Internet?

Where do you have Internet access? At work At home Both

Who pays for your Internet access? My employer I do Both

How many hours per week do you usually spend looking at anesthesia-related information on the Internet?

How many hours per week do you usually spend on the Internet for fun or recreation?

How long have you had access to Internet E-mail? Years Months

How long have you had access to the World Wide Web? Years Months

Personal Information

You may skip this section if you wish.

What age group are you in?

Are you Male or Female?

Please leave your name and e-mail address here:

Name:

E-mail:

This is a space for any additional comments you may wish to make:

Thanks for your help !

Click on Submit if everything is correct, or Reset to try again

Problems with the form? Need more space? Send an e-mail to Email address as image to avoid spam instead.
Or send snailmail to:
That's all folks! Thanks yet again for your help.
Prepared by: Dr John Oyston, March 11, 1996.
Revised Feb 23, 1997
http://www.oyston.com/anaes/survey.html