#	QUESTION	RESPONSE OPTIONS
1	When will you be graduating medical school?	2020 2021 2022 2023
2	Did you have experience working as a medical scribe prior to entering medical school?	Yes No
3	Setting of prior scribe experience capacity:	Emergency Department Primary Care Office Other [Free text]
4	Administrative experience	Chief Scribe/ Manager Quality Assurance Specialist New Scribe Trainer Other [Free text]
5	Number of years spent working as a medical scribe	0–1 1–2 2–3 more than 3 years [Free text]
6	Approximate number of hours per week worked as a medical scribe	Less than 8 hours per week 8–16 hours per week 16–32 hours per week 32–40 hours per week more than 40 hours per week
7	Did scribing experience influence your clinical experience in medical school? Please add any comments to the text box. (Medical documentation? Terminology? Communication skills? Procedural skills? Physical exam skills? Oral presentation skills?	Free text
8	Describe the setting of your scribe experience	Urban Outer Urban Rural
9	Describe your military status	Prior military service current military member no prior or current military experience
10	Comments?	Free text