Q1	The information provided in this questionnaire will be exclusively used for research purposes. It will not be used in a manner which would allow identification of your individual responses
1	Accept
Q2	Email
Q3	Gender
Q4	Year of birth
Q5	Country
Q5_a	Italian region
Q6	Training level
1	Consultant
2	Resident
3	Research Fellow or PhD student
Q7	Type of hospital
1	Academic
2	Non academic teaching
3	Non teaching
Q8	How has your hospital been preparing for the COVID‐19 emergency?
1	Fully dedicated to COVID‐19 patients
2	By creating dedicated pathways and wards to COVID‐19 patients
3	Not involved at all in COVID‐19 patients’ care
Q9	Do you still perform proctologic surgery at your unit?
1	Not at all
2	Yes, but only urgent cases
3	Yes, but only urgent and oncologic cases
4	Yes, in any case including elective surgery for benign disease
Q10	Did your hospital create external connections to keep performing proctologic surgery in COVID‐free centres?
1	No
2	Yes, but only for elective oncologic disease
3	Yes, for both oncologic and benign disease
Q11	Did you amend your informed consent for COVID‐19 positive patients undergoing surgery by mentioning the augmented risk of complications and mortality?
1	Yes
2	No
Q12	Did you amend your informed consent for COVID‐19 negative patients undergoing surgery by mentioning the augmented risk of contagion?
1	Yes
2	No
Q13	In case of surgery for COVID‐19 positive patients (either performed in the operating room or outpatient clinic), do you use PPE (Personal Protective Equipment)?
1	Always
2	On a case‐by‐case basis
3	Never
Q14	In case of surgery for COVID‐19 negative or untested patients (either performed in the operating room or outpatient clinic), do you use PPE?
1	Always
2	On a case‐by‐case basis
3	Never
Q14_a	Are these patients always tested for COVID‐19 before surgery?
1	Yes
2	No
Q14_a_i	How?
1	Chest‐CT
2	Nasopharyngeal swab
3	Serology
Q15	Is PPE readily available (adequate for quantity and quality) at your workplace?
1	Yes
2	No
Q16	Did any patient refuse proctologic surgery (elective or urgent) at your centre after COVID‐19 outbreak?
1	Not applicable – proctologic surgery has fully stopped
2	No
3	Yes
Q16_a	How many, approximately?
1	1–5
2	6–10
3	11–20
4	>20
Q16_b	For what reason(s)?
1	Fear of being infected
2	Other
Q16_b_i	If you selected Other, please specify:
Q17	Have you ever tested positive for COVID‐19?
1	Yes
2	No
Q18	To what extent has the elective proctologic surgery reduced at your centre for oncologic disease?
1	0% – unaltered
2	Less than 50%
3	More than 50%
4	100% – fully stopped
Q18_a	For what reason(s)?
1	Reduced number of patients
2	Unavailability of operative rooms
3	Lack of nurses
4	Lack of anaesthetists
5	Lack of surgeons
6	Hospital directions
7	Other
Q18_a_i	If you selected Other, please specify:
Q18_b	Are patients undergoing oncological proctologic surgery tested for COVID‐19?
1	Prior to surgery
2	Prior and after surgery
3	After surgery
4	Never
Q18_c	In case of COVID‐19 positivity prior to surgery?
1	The operation is rescheduled
2	Surgery is performed in accordance to local protocols thence transferring the patient to a dedicated COVID‐19 ward
3	Surgery is performed in accordance to local protocols thence transferring the patient to a mixed COVID‐19 positive/negative ward
Q18_d	Do you find flaws or delay in the management of oncological patient?
1	Yes
2	No
Q18_d_i	For what reason(s)?
1	Impossibility to operate
2	Delay in performing endoscopic procedures
3	Delay in getting radiological imaging
4	Delay in getting histopathological reports
5	Suspension of multidisciplinary team meetings
6	Other
Q18_d_i_a	If you selected Other, please specify:
Q18_e	Have you recently treated any HSIL (high‐grade squamous intraepithelial neoplasia)?
1	Yes without case selection criteria
2	Yes but only in high‐risk patients
3	No
Q19	To what extent has the elective proctologic surgery reduced at your centre for benign disease?
1	0% – unaltered
2	Less than 50%
3	More than 50%
4	100% – fully stopped
Q19_a	For what reason(s)?
1	Reduced number of patients
2	Unavailability of operative rooms
3	Lack of nurses
4	Lack of anaesthetists
5	Lack of surgeons
6	Hospital directions
7	Other
Q19_a_i	If you selected Other, please specify:
Q19_b	In which setting are you currently performing elective surgery for benign disease?
1	Operative room
2	Outpatients clinic
3	Both
Q20	To what extent has the urgent proctologic surgery reduced at your centre?
1	0% – unaltered
2	Less than 50%
3	More than 50%
4	100% – fully stopped
Q20_a	For what reason(s)?
1	Reduced number of patients
2	Unavailability of operative rooms
3	Lack of nurses
4	Lack of anaesthetists
5	Lack of surgeons
6	Hospital directions
7	Other
Q20_a_i	If you selected Other, please specify:
Q21	Are patients undergoing urgent proctologic surgery tested for COVID‐19?
1	Prior to surgery
2	Prior and after surgery
3	After surgery
4	Never
Q22	Are urgent proctologic procedures usually performed by a proctologist at your unit?
1	Yes
2	No
Q23	To what extent has the outpatient proctologic activity reduced at your centre?
1	0% – unaltered
2	Less than 50%
3	More than 50%
4	100% – fully stopped
Q23_a	For what reason(s)?
1	Local hospital directions
2	National directions
3	Other
Q23_a_i	If you selected Other, please specify:
Q23_b	Have you managed to increase in‐between visits’ time interval?
1	Yes
2	No
Q23_b_i	For what reason(s)?
1	Social distance in waiting rooms
2	Need time to clean the rooms
3	Time spent for wearing personal protective equipment
Q23_c	Have the patients been called for preliminary anamnesis before coming to the visit?
1	Yes
2	No
Q23_c_i	Do you perform anamnestic evaluation for COVID‐19 before starting the visit?
1	Yes
2	No
Q23_d	Have the patients been screened for COVID‐19 before attending the visit?
1	Yes
2	No
Q23_e	Do you regularly use personal protective equipment (PPE) during the visit?
1	Yes
2	No
Q23_f	Do you think that a decreased outpatient activity may lead to diagnostic delay of rectal/anal cancer?
1	Yes
2	No
Q23_g	Have you discontinued HRA (high resolution anoscopy) and related procedures (i.e. biopsy) at all?
1	Yes
2	No
Q24	To what extent have the visits/procedures for sexually transmitted disease (STD) reduced at your centre?
1	0% – unaltered
2	Less than 50%
3	More than 50%
4	100% – fully stopped
Q24_a	Is there a dedicated STD pathway in your hospital?
1	Yes
2	No
Q25	To what extent have the visits/procedures for pelvic floor disorders reduced at your centre?
1	0% – unaltered
2	Less than 50%
3	More than 50%
4	100% – fully stopped
Q25_a	Is there a dedicated pathway for the management of pelvic floor disorders in your hospital?
1	Yes
2	No
Q26	Before the COVID‐19 emergency, were anorectal physiology tests (manometry, EAUS, etc.) performed at your centre?
1	Yes
2	No
Q26_a	Are you still performing anorectal physiology tests?
1	Yes
2	No
Q26_a_i	Which of the following anorectal physiology tests are still performed at the moment?
1	Anorectal manometry
2	Endorectal ultrasound
3	Neurophysiology tests
4	X‐ray defecography
5	MRI defecography
Q27	Have patients with pre‐booked visit or surgery been rescheduled?
1	Not yet
2	Yes, in 1–3 months according to the waiting list
3	Yes, after balancing the urgency of the case with the risks related to COVID‐19
4	Yes, until the end of pandemic