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. 2023 Dec 30;12(1):6. doi: 10.3390/pharmacy12010006
Q1 Age:
  • ❍

    <25 yrs (1)

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    26–35 yrs (2)

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    36–45 yrs (3)

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    46–55 yrs (4)

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    56 yrs (5)

Q2 Gender:
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    Male (1)

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    Female (2)

Q3 Professional degree:
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    DO (1)

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    MD (2)

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    Pharm.D. (3)

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    BS in pharmacy (4)

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    Other (5) ____________________

Q4 In what geographical area did you grow up?
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    North America (1)

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    South America (2)

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    Europe (3)

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    Southeast Asia (4)

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    Other (5) ____________________

Q5 Please indicate your level of post-graduate training (please select all that apply)?
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    PGY1 general residency (1)

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    PGY1 community residency (2)

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    Fellowship (3)

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    Other (4)

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    None (5)

Q6 How would you describe the pharmacy in which you currently work?
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    Independent pharmacy (less than 4 stores) (1)

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    Small chain pharmacy (5–1000 stores) (2)

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    Intermediate chain pharmacy (1001–5000 stores) (3)

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    Large chain pharmacy (more than 5000 stores) (4)

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    Other (5)

Q7 How many years have you been practicing independently (i.e., since you completed post-graduate training if applicable)
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    0–3 years (1)

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    4–6 years (2)

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    7–10 years (3)

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    11–20 years (4)

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    21 years or more (5)

Q8 What geographical region is your work institution?
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    Midwest (1)

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    Northeast (2)

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    Northwest (3)

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    Southeast (4)

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    Southwest (5)

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    Other (6)

The following questions refer to your knowledge of kratom:
Q9 Have you heard of kratom before?
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    Yes (1)

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    No (2)

Q10 If you have heard of kratom before, from where or whom did you hear about it?
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    Pharmacy or medical school curriculum (1)

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    Continuing education article/program (2)

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    Pharmacist (3)

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    Scientific/medical literature (4)

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    Lay-press article or news (5)

Q11 How would you rate your overall knowledge of kratom?
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    Not at all knowledgeable (1)

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    Not very knowledgeable (2)

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    Neutral (3)

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    Knowledgeable (4)

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    Very knowledgeable (5)

Q12 How confident are you that you could list common reasons why people take kratom?
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    Not at all confident (1)

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    Not very confident (2)

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    Neutral (3)

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    Confident (4)

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    Very confident (5)

Q13 How confident are you that you could describe the clinical effects of kratom?
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    Not at all confident (1)

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    Not very confident (2)

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    Neutral (3)

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    Confident (4)

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    Very confident (5)

Q14 How confident are you that you could describe the legal issues surrounding kratom?
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    Not at all confident (1)

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    Not very confident (2)

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    Neutral (3)

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    Confident (4)

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    Very confident (5)

Q15 Has a patient or acquaintance ever asked you about kratom?
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    Yes (1)

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    No (2)

Q16 Have you ever read an article about kratom in a scientific or medical journal?
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    Yes (1)

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    No (2)

Q17 Have you ever read an article in the lay press about kratom?
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    Yes (1)

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    No (2)

Q18 Have you ever heard of mitragynine or 7-hydroxymitragynine?
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    Yes (1)

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    No (2)

Q19 Are you aware of how kratom is typically ingested (i.e., swallowed, inhaled, injected, etc.)?
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    Yes (1)

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    No (2)