Confidence and experience	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
I have a continual feeling that I haven't quite done enough. I feel I don't know whether I'm doing the right thing or not. Experience has taught me that being cautious sometimes isn't necessarily a bad thing.
Tolerance of risk and uncertainty	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
4.When it comes to medicine I'm quite cautious. 5.As a GP you think that you can deal with most things most of the time. 6.I think my risk assessment is reasonably good, and I'm reasonably safe. 7.All GPs take risks; it's risk assessment in general practice all the time. 8.GPs are good at living with uncertainty and risk. 9.I don't worry about my decisions after I've made them. 10.I sometimes go back and check on the patient's outcome after a shift has finished.
Complaints by patients or relatives	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
11.I don't worry about a complaint being made about me. 12.I have had complaints made against me. 13.Fear of litigation influences my practice.
Attitudes to hospital admission	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
14.A benefit of admission is that it reduces the risk of being sued. 15.It's easier to send somebody in and get the hospital to check them out than to leave them at home. 16.Admitting someone to hospital enables me to get a second opinion. 17.Admitting someone to hospital means I can speed up urgent tests. 18.Admitting someone to hospital puts them in danger of being ‘over-tested’.
Patient-related factors	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
19.The most important factor in my decision to admit is the patient's clinical status. 20.I am more likely to admit a person if they want to be admitted. 21.If a family wants me to admit their relative I would be more inclined to admit them. 22.I see myself as a negotiator, ‘selling’ my decision (whatever that is) to family and carers. 23.If members of the family say there's nobody to look after someone, I see that as a problem for the family rather than the doctor. 24.I am more likely to admit someone if they live alone. 25.I am more likely to admit someone if they are poorly housed.
Motivation	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
26.I like the nature of the clinical work in OOH care. 27.I work in OOH because I like the financial rewards. 28.I enjoy working with my OOH organisation. 29.I dislike the work in OOH because it is different from routine GP work. 30.I do not enjoy working with the larger network of GPs, nurses, and other staff OOH. 31.I work in OOH because I feel responsible for the quality of care that our patients receive OOH.
Organisational factors	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
32.I think intermediate care is probably much better for the patient if they can have it. 33.I have experienced difficulty arranging intermediate care for someone. 34.Hospital nurses are less likely than hospital doctors to confront you about your decision to admit. 35.I feel guilty when I admit a patient. 36.We are increasingly under pressure not to admit people.
Job satisfaction (in your work as a doctor)	Agree strongly	Agree a little	Neither agree nor disagree	Disagree a little	Disagree strongly
37.I feel that some parts of my work do not make sense. 38.My work still interests me as much as it ever did. 39.Assuming that pay and conditions were similar, I would just as soon do non-medical work. 40.I find enjoyment in my work. 41.My work involves a great deal of wasted effort on my part.