230710 Psychologists and Pshychotherapists
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
1. Are you, or any member of your household, employed by the pharmaceutical industry on a full-time or consultancy basis, or is any member of your household employed by a communication or advertising industry related to pharmaceutical products?
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Yes
No
2. During the previous year, have you been involved in any market research regarding schizophrenia?
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Yes
No
3. In a typical month, how many patients with the following pathologies do you usually see? (write down the number)
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Rows
Patients per month
Schizophrenia
Bipolar Disorder
Delusional Disorders
Borderline Personality Disorder
4. What percentage of your patients with schizophrenia present with cognitive symptoms?
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5. Please indicate your opinion about the following sentence “Cognitive symptoms in Schizophrenia and negative symptoms to fall under two distinct categories”?
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Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
6. For how many years has your regular practice included caring for schizophrenia patients with cognitive impairment?
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7. Do you work in coordination with other professionals in the management of your patients with Cognitive Impairment Associated with Schizophrenia (CIAS)? If yes, with whom? (Tick all that apply)
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Yes
No
Psychiatrists
Nurses
Social workers
Other (specify)
8. I would like you to tell me, in relation to patients with Cognitive Impairment Associated with Schizophrenia, whether you are responsible for...
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Patient cognitive behavioral therapy
Patient psychoeducation
Family psychoeducation
Cognitive remediation therapy
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