Q1 What percentage of the population that you treat is aged 14–18 years? ❍ <25% ❍ 25–50% ❍ >50% ❍ Do not know/unsure

Q2 If appropriate in the context of the patient visit, do you test/screen for gonorrhea/chlamydia? ❍ Yes ❍ No, do not have the equipment to perform those tests ❍ No, performing those tests is not within the scope of my practice

Q3 During the average month, how often do you test/screen for gonorrhea or chlamydia in adolescent female patients, less than 18 years old? ❍ Monthly (1–2 times per month) ❍ Weekly (>5 times per month) ❍ Daily (>25 times per month) ❍ Multiple times a day (>40 times per month)

Q4 A 14 year old female presents requesting testing for gonorrhea and chlamydia. She is sexually active with a male partner. Sometimes they use condoms. Neither she nor her partner has had any symptoms. How would you collect a sample for gonorrhea/chlamydia testing for this asymptomatic 14 year old patient? ❍ Speculum exam with cervical swab for culture ❍ Speculum exam with cervical swab for NAAT* ❍ Provider vaginal swab for culture ❍ Provider vaginal swab for NAAT* ❍ Patient self vaginal swab for culture ❍ Patient self vaginal swab for NAAT* ❍ Urine sample for NAAT* ❍ Observe, no testing at this time ❍ Do not know/unsure

Q5 If treatment is indicated for this asymptomatic 14 year old female, with regards to her partner, do you: ❍ Give her a prescription for her partner (expedited partner therapy) ❍ Recommend that her partner be seen by a healthcare provider ❍ Not discuss her partner’s therapy ❍ Treatment is not indicated

Q6 A female patient presents with the same complaints as the previous scenario. Please note the patient is now an 18 years old female. How would you collect a sample for gonorrhea/chlamydia testing for this asymptomatic 18 year old female? ❍ Speculum exam with cervical swab for culture ❍ Speculum exam with cervical swab for NAAT* ❍ Provider vaginal swab for culture ❍ Provider vaginal swab for NAAT* ❍ Patient self vaginal swab for culture ❍ Patient self vaginal swab for NAAT* ❍ Urine sample for NAAT* ❍ Observe, no testing at this time ❍ Do not know/unsure

Q7 If treatment is indicated for this asymptomatic 18 year old female with regards to her partner, do you: ❍ Give her a prescription for her partner (expedited partner therapy) ❍ Recommend that her partner be seen by a healthcare provider ❍ Not discuss her partner’s treatment ❍ Treatment is not indicated

Q8 The same 18 year old female from the previous scenario presents requesting testing for gonorrhea and chlamydia. She remains asymptomatic, but now her male partner has penile discharge. How would you collect a sample for gonorrhea/chlamydia testing for this asymptomatic 18 year old female, with a symptomatic partner? ❍ Speculum exam with cervical swab for culture ❍ Speculum exam with cervical swab for NAAT* ❍ Provider vaginal swab for culture ❍ Provider vaginal swab for NAAT* ❍ Patient self vaginal swab for culture ❍ Patient self vaginal swab for NAAT* ❍ Urine sample for NAAT* ❍ Observe, no testing at this time ❍ Do not know/unsure

Q9 If treatment is indicated for this 18 year old female with regards to her symptomatic partner, do you: ❍ Give her a prescription for her partner (expedited partner therapy) ❍ Recommend that her partner be seen by a healthcare provider ❍ Not discuss her partner’s treatment ❍ Treatment is not indicated

Q10 The same 18 year old female from the previous scenario presents requesting testing for gonorrhea and chlamydia. She was asymptomatic, but now is complaining of vaginal discharge. How would you collect a sample for gonorrhea/chlamydia testing for this symptomatic 18 year old female? ❍ Speculum exam with cervical swab for culture ❍ Speculum exam with cervical swab for NAAT* ❍ Provider vaginal swab for culture ❍ Provider vaginal swab for NAAT* ❍ Patient self vaginal swab for culture ❍ Patient self vaginal swab for NAAT* ❍ Urine sample for NAAT* ❍ Observe, no testing at this time ❍ Do not know/unsure

Q11 If treatment is indicated for this symptomatic 18 year old female, with regards to her partner, do you: ❍ Give her a prescription for her partner (expedited partner therapy) ❍ Recommend that her partner be seen by a healthcare provider ❍ Not discuss her partner’s treatment ❍ Treatment is not indicated

Q12 If offered a choice, which method of collection do you think your female adolescent patients would prefer? ❍ Speculum exam with cervical swab ❍ Provider vaginal swab ❍ Patient self vaginal swab ❍ Urine sample

Q13 What do you think is the biggest barrier to using the method of collection that your patients would choose in the previous question? None, I use that method of collection ❍ I do not have access to the equipment to perform those tests ❍ I do not think that method is the recommended collection method ❍ I do not know if my patients will correctly collect the specimen ❍ Do not know/unsure (5)

Q14 In which state does the majority of your clinical practice occur?

Q15 With regards to treating partners of patients, the laws of my state in which the majority of my practice is located: ❍ Allow a provider to treat sexual partners for gonorrhea/chlamydia without having an established provider-patient relationship ❍ Do not allow a provider to treat sexual partners for gonorrhea/chlamydia without having an established provider-patient relationship ❍ I do not know the laws of my state for treating partners for STI

Q16 If your patient does not know or is unwilling to disclosure her partners’ names, my state law: ❍ Allows me to write “expedited partner therapy” or “EPT” instead of a name on the prescription ❍ Does not allow me to write a prescription ❍ I do not know my state law regarding this topic

Q17 How familiar are you with the most recent CDC guidelines for gonorrhea/chlamydia? ❍ Not familiar at all ❍ Somewhat familiar ❍ Very familiar

Q18 As diagnostic and treatment recommendations change for adolescents, what method do you think best supports implementing evidence based practices? ❍ Computerized/summarized clinical guidelines ❍ Brief, paper/pocket card guidelines ❍ Electronic medical record clinical prompts ❍ Practice based monitoring and feedback (institutionalized QI initiatives)

Q19 What is your gender? ❍ Male ❍ Female

Q20 What is the setting of your clinical practice? ❍ Outpatient Clinic (Primary Care) ❍ Children’s Emergency Department/Urgent Care ❍ General Emergency Department/Urgent Care ❍ Reproductive Clinic ❍ STI Clinic (Health Department)

Q21 How would you describe the majority of your clinical practice? ❍ Private practice ❍ Academic practice

Q22 What type of residency program did you complete? ❍ Pediatrics ❍ Emergency Medicine ❍ Other (which specialty): ____________________ ❍ Currently in residency

Q23 Did you complete fellowship training? ❍ Yes (which specialty): ____________________ ❍ No ❍ Currently in a fellowship (which specialty): ____________________

Q24 How many years since you completed your entire medical training? ❍ Currently in training ❍ ≤7 years ❍ 8–15 years ❍ >15 years

^*The original survey sent to participants listed PCR instead of NAAT as an option.