1. What's your native language? Dutch or French |
2. What's your gender? Male or female |
3. Age in years? |
4. What is your educational study level? Bachelor, Junior Master or Senior Master |
5. What is the professional level you hope to reach? Emergency physician, physician, dentist, pharmacist, veterinarian |
6. What's the highest level of your CBRN training up to now? None, Basic, CBRN school |
7. What is the timeframe since your last CBRN training period? Less than 1 year, 1–3 years, 3–7 years, longer than 7 years |
8. Do you live within a 20km range of a: nuclear installation or high risk chemical installation (Seveso type)? |
9. Do you have any association with EMS or disaster management besides your military career? |
10. Have you had any lectures or training in disaster medicine/management? |
11. Do you have any knowledge on how to deal with CBRN incidents and/or affected patients? |
12. Do you think that your university training should prepare you one way or another to deal with disaster situations? Absolutely, could be useful, useless |
13. On a visual scale from 0(null) to 10 (expert) what's your estimation of your knowledge on: nuclear incidents, chemical incidents, biological incidents (eg anthrax), epidemic, very contagious disease (eg swine or bird flu), epidemic very contagious disease with high morbidity/mortality risks (eg Ebola)? |
14. On a visual scale from 0 to 10 what's your estimation of your capability to deal with patients of: nuclear incidents, chemical incidents, biological incidents (eg anthrax), epidemic, very contagious disease (eg swine or bird flu), epidemic very contagious disease with high morbidity/mortality risks (eg Ebola)? |
15. If you were confronted with the following scenarios during your apprenticeship would you engage yourself to actively participate in patient care (on a visual scale from 0 (not at all) to 10 (absolutely))? Nuclear incidents, chemical incidents, biological incidents (eg anthrax), epidemic, very contagious disease (eg swine or bird flu), epidemic very contagious disease with high morbidity/mortality risks (eg Ebola)? |
16. Set of theoretical questions: see table 3 |