Wound Pain Survey
Please take the time to complete our survey. Your feedback will help improve & design wound care products. Thank you.
Participant Demographics
Your Email Address for Identification
Which of the following best describes you?
nurse
doctor
pharmacist
other (please specify)
Your level of expertise with regards to wound care?
expert
knowledgeable
somewhat knowledgeable
novice
other (please specify)
General Questions
Is pain an issue in chronic wound management?
yes
possibly
no
Generally what pain level is experienced by these patients?
none
low
moderate
high
extreme
Management Questions
Do you agree with the use of topical pain management products in these patients?.
Agree
Somewhat Agree
Neutral
Somewhat Disagree
Disagree
Do you currently use topical pain management products in these patients?.
Always
Sometimes
Never
Which of the following topical preparations have you used? (Choose all that apply)
EMLA
Ameotop
None
Other (please specify)
Likelyhood of using a topical preparation for the treatment of chronic wound pain?
none
low
moderate
high
definite
Product Specific Questions
What interest level do you have in using a lidocaine based preparation for the treatment of chronic wound pain?
none
low
moderate
high
definite
Which of the following dressing types would you consider the most suitable for the application of a topical pain management preparation?
alginate
amorphous hydrogel
cream
film
foam
gauze
hydrofibre
hydrocolloid
solution
none
other
Which of the following do you believe may be issues with the topical use of lidocaine? (Choose all that apply)
non-effective
toxic in open wounds
sensitisation of patient
control of use (i.e. abuse)
should be prescription only
none
If a lidocaine based wound dressing was shown to be effective in the management of chronic wound pain management, what is the likelyhood of you using such a product in your practice?
none
low
moderate
high
definite
Would you be willing to take part in a future equally short survey around this subject?
yes
possibly
no
Please provide any comments or suggestions regarding this survey?
Indicates Response Required