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. 2016 Nov 30;9:1143–1151. doi: 10.2147/JPR.S118945

Table 1.

Study questionnaire

Part 1. (Physician’s characteristics)
1. Age: ________ years
2. Gender: M  F
3. How long have you been working as a physician anesthesiologist? _______ years
4. How many years have you been working in the pain clinic? __________ years
5. How many patients on average visit your pain clinic during a week? ________
Part 2. (Open-ended semi-structured questions)
1. Have you in your practice encountered patients who share their prescription pain medications with other people to whom they were not prescribed?
2. What is your opinion about such behavior among patients?
3. Do you think that sharing prescription pain medication among patients is risky behavior?
4. What are the potential risks or negative, harmful consequences of sharing prescription pain medication among patients?
5. Is there anything positive related to prescription analgesics sharing among patients?
6. Is there a difference between the risk of analgesics sharing depending on whether the analgesics is prescription-based or over-the-counter?

Abbreviations: M, male; F, female.