Welcome to the Arkansas Department of Health Fungal Disease Provider Survey.
We are conducting a web survey of healthcare professionals across the State of Arkansas to learn more about current knowledge gaps in diagnosing and treating fungal diseases. Results of this survey will be used to facilitate the development of resources to help Arkansas healthcare professionals better identify, diagnose, and treat fungal diseases, and identify where the Arkansas Department of Health can be of service to providers.
This survey should only take 5 to 10 minutes to complete. The information you provide will be kept confidential and will only be used for the purposes of promoting public health. Although results may be shared with other public health professionals and practitioners, results will be reported in aggregate only and in such a way that no individual can be identified. Your participation is voluntary but greatly appreciated, and you may skip any questions you prefer not to answer. There are no known risks to participating in this survey, and you can refuse to participate at any time. There are no direct benefits of participation to you, though your feedback may help provide healthcare professionals in Arkansas with the resources they need to enhance the care of patients affected by tick-borne diseases.
If you have any questions about this survey, please do not hesitate to contact the Arkansas Department of Health Zoonotic Disease Section which is conducting this survey, at 501-280-4588 or adh.zoonotic@arkansas.gov.
We would like respondents to complete the survey only once. If your responses have already been recorded, you may exit the survey now. Thank you for your participation.
What is your healthcare specialty?
* must provide value
Physician (MD, DO)
Nurse Practitioner
Physician Assistant
Student
Other
Physician (MD, DO)
Nurse Practitioner
Physician Assistant
Student
Other
If other, please specify:
What is your practice specialty?
* must provide value
If other, please specify:
How long have you been practicing?
Less than 5 years
5 to 10 years
11-15 years
16-20 years
greater than 20 years
Less than 5 years
5 to 10 years
11-15 years
16-20 years
greater than 20 years
In which counties in Arkansas do you currently practice?
Describe your knowledge of the geographic distribution of Histoplasmosis:
Never Heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never Heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
How familiar are you with the common exposure risks associated with Histoplasmosis infection ?
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Describe your knowledge of the symptoms of disease from Histoplasmosis:
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Have you ever tested a patient for Histoplasmosis?
Yes
No
Unsure
Have you ever treated a patient for Histoplasmosis?
Yes
No
Unsure
Describe your knowledge of the geographic distribution of Blastomycosis:
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
How familiar are you with the common exposure risks associated with Blastomycosis infection ?
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Describe your knowledge of the symptoms of disease from Blastomycosis:
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Have you ever tested a patient for Blastomycosis?
Yes
No
Unsure
Have you ever treated a patient for Blastomycosis?
Yes
No
Unsure
Describe your knowledge of the geographic distribution of Coccidioidomycosis (valley fever):
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
How familiar are you with the common exposure risks associated with Coccidioidomycosis infection?
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Describe your knowledge of the symptoms of disease from Coccidioidomycosis:
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Have you ever tested a patient for Coccidioidomycosis?
Yes
No
Unsure
Have you ever treated a patient for Coccidioidomycosis?
Yes
No
Unsure
Describe your knowledge of the geographic distribution of Cryptococcus:
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
How familiar are you with the common exposure risks associated with Cryptococcus infection ?
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Describe your knowledge of the symptoms of disease from Cryptococcus:
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Have you ever tested a patient for Cryptococcus?
Yes
No
Unsure
Have you ever treated a patient for Cryptococcus?
Yes
No
Unsure
Describe your knowledge of C. auris infection:
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Have you ever tested a patient for Candida auris (C. auris )?
Yes
No
Unsure
Does your facility have the capability to test for C. auris ?
No/unsure
Yes-with the use of an outside testing facility
Yes-with our facility lab
No/unsure
Yes-with the use of an outside testing facility
Yes-with our facility lab
Does your facility perform any Candida species level identification?
Yes, but only by request
Yes, specific species level ID
No
Not now, but potentially within the next year
Unsure
Yes, but only by request
Yes, specific species level ID
No
Not now, but potentially within the next year
Unsure
Have you ever treated a patient for C. auris ?
Yes
No
Unsure
Would you or others at your facility like to learn more about infection control measures for C. auris ?
Yes
No
Unsure
Describe your knowledge of mucormycosis infection:
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Describe your knowledge of aspergillosis infection:
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Never heard of it
No knowledge
Little knowledge
Moderate knowledge
A lot of knowledge
Would you or others at your facility like to learn more about fungal diseases in Arkansas?
Yes
No
Maybe
What do you think is the most valuable way to learn more about fungal diseases?
* must provide value
What length of video would be most useful?
Do you have access to any Arkansas fungal disease data?
Yes
No
Unsure
Do you think an online dashboard on fungal disease data for Arkansas would be useful?
Yes
No
Unsure
If you would like to receive more information from us on fungal diseases, please provide an email address that we can reach you at:
(Contact information will be added to our listserv for ADH to distribute information and updates on fungal diseases.)
Please provide any additional contact information that you would prefer to be reached at: