1. Are you a physiatrist practicing in the United States? * Yes No 2.How many patients with chronic pain do you see per month (on average): * Less than 5 6 – 10 11 – 20 More than 20 3. Of your patients with a chronic pain diagnosis, for how many do you prescribe opioid analgesics (short or long-acting)? * Less than 25% 26% - 50% 51% - 75% More than 75% 4. Of your patients who receive opioid analgesics, how many experience constipation as a side effect of opioid therapy? * Less than 25% 26% - 50% 51% - 75% More than 75% 5. For your patients with opioid-induced constipation, how frequently do you recommend dietary modification and OTC laxatives/stool softeners? * Less than 25% 26% - 50% 51% - 75% More than 75% 6. For your patients receiving opioids, which of the following is the most common reason for NOT prescribing an agent to relieve opioid-induced constipation (OIC)? * Patient refusal Not aware of the availability of oral agents for OIC Not convinced of the efficacy of oral agents for OIC Cost of oral agents for OIC Other 7. For your patients with opioid-induced constipation, how frequently do you prescribe naloxegol? * Less than 25% 26% - 50% 51% - 75% More than 75% 8. Please rate your degree of familiarity with the mechanism of action of naloxegol * Very familiar Somewhat familiar Slightly familiar Not at all familiar 9. For your patients with opioid-induced constipation, how frequently do you prescribe lubiprostone? * Less than 25% 26% - 50% 51% - 75% More than 75% 10. Please rate your degree of familiarity with the mechanism of action of lubiprostone? * Very familiar Somewhat familiar Slightly familiar Not at all familiar 11. For your patients with opioid-induced constipation, how frequently do you prescribe methylnaltrexone? * Less than 25% 26% - 50% 51% - 75% More than 75% 12. Please rate your degree of familiarity with the mechanism of action of methylnaltrexone? * Very familiar Somewhat familiar Slightly familiar Not at all familiar 13. Please rate your degree of familiarity with peripherally-acting mu-opioid receptor antagonists (PAMORA): * Very familiar Somewhat familiar Slightly familiar Not at all familiar 14. Given the frequency of opioid-induced constipation as a side effect of opioid therapy, please indicate your level of interest in CME programs on this topic: * Very interested Somewhat interested Slightly interested Not at all interested ENTER FOR A CHANCE TO WIN AN AMAZON GIFT CARD: Email Address: Name: Leave this field blank
