How often have you had trouble providing optimal discharge education to the parents because of…	Never	Sometimes	About Half the Time	Often	Always
language barriers/limited access to interpreters.	1	2	3	4	5
Low Parent health literacy.	1	2	3	4	5
Parent availability for teaching.	1	2	3	4	5
Parent does not want to participate.	1	2	3	4	5
Cultural reasons.	1	2	3	4	5
Hospital policy/pressure to discharge before a certain time.	1	2	3	4	5
Too many problems to discuss.	1	2	3	4	5
A time limitation.	1	2	3	4	5
Lack of education in discharge communication.	1	2	3	4	5
Poorly designed template for discharge instructions.	1	2	3	4	5
Poorly designed medical record.	1	2	3	4	5
No standardized discharge processes.	1	2	3	4	5
Difficulty communicating with other physicians on your team.	1	2	3	4	5
Difficulty communicating with subspecialty services or consults.	1	2	3	4	5
Difficulty communicating with nursing.	1	2	3	4	5
Environmental reasons (i.e., space, noise).	1	2	3	4	5
Poor understanding of patient's medical problem.	1	2	3	4	5
Unclear who is responsible for specific aspects of discharge teaching.	1	2	3	4	5
What other barriers have you experienced?________________________________________________________________________________