| 1. In which country are you completing your surgical training? | |
| USA | |
| UK | |
| Ireland | |
| 2. In which region/ hospital have you completed most of your training? | |
| 3. What year of your residency/registrar training are you? | |
| 1 | |
| 2 | |
| 3 | |
| 4 | |
| 5 | |
| 6 | |
| Post residency/CCT Fellow | |
| Post fellowship | |
| 4. What is your current specialty/sub-specialty? Tick all that apply | |
| General Surgery | |
| Surgical Oncology | |
| Colorectal | |
| UGI | |
| HPB | |
| Breast | |
| Endocrine | |
| Vascular | |
| Other (please specify) | |
| 5. How many hours in total have you spent on a robotic simulator (simulator, dry lab, wet lab) | |
| 0 | |
| 1–10 | |
| More than 10 | |
| 6. How many operations have you part-performed on the robotic console (< 50% of the operation)? | |
| 0 | |
| < 15 | |
| 15–30 | |
| More than 30 | |
| 7. How many operations have you performed on the robotic console (> 50% of the operation)? | |
| 0 | |
| < 15 | |
| 15–30 | |
| More than 30 | |
| 8. Does your current place of work have at least one Da Vinci robot? | |
| Yes but no dual console | |
| Yes with dual console | |
| No but other robotic platform in use (CMR/Medtronic/other) | |
| No | |
| 9. Do you think you have had enough exposure to robotic surgery? | |
| Yes | |
| No, would like more | |
| No, not necessary to have more | |
| 10. Do you think your future practice over the next 10 years will include robotic surgery? | |
| Yes but < 25% | |
| Yes 25–50% | |
| Yes > 50% | |
| No |