Reader Survey

Dear Readers:

The editors of the Canadian Journal of Rural Medicine (CJRM) welcome your feedback about our inaugural issue. We also want to define the rural medical community to ensure that we appreciate your needs as a journal reader. Please print out this page, complete the survey, and return it to CJRM, Box 1086, Shawville, QC J0X 2Y0 (fax: 819 647-2845) by Aug. 15, 1996, so that we can share the results with you as soon as possible. Thanks.

Please check the appropriate spaces.

(A) ABOUT YOU

(1) How many years have you been in practice?
__ 5 or less __ 6-15 __ 16-20 __ More than 20

(2) What size is the community in which you practise?
__ Less than 1,000 __ 1,000-5,000 __ 5,000-10,000 __ More than 10,000

(3) What size is the population that is served by your community hospital?
__ Less than 5,000 __ 5,000-15,000 __ 15,000-20,000 __ More than 20,000

(4) Does your practice include hospital care?
__ Yes __ No

(5) Do you practise obstetrics?
__ Yes __ No

(6) Do you do ER?
__ Yes __ No (please proceed to question 7)

If yes, how many times are you on call per month?
__ 5 or less __ 6-10 __ 11-15 __ More than 15

(7) Do you have any specialist back-up?
__ Yes __ No (please proceed to question 8)

If so, please describe
______________________________________________________________________
______________________________________________________________________

(8) Through what means do you obtain your continuing medical education?
__ Medical journals __ Colleagues
__ Conferences __ The Internet
__ CME courses __ Other (please specify)

(9) Which of the following drug information sources do you use?

__ Personal visits by a pharmaceutical representative?
How frequently? __ Every month __ Every 3 months __ Every 6 months __ Once a year

__ Information received indirectly through a pharmaceutical representative?
How often? __ Every month __ Every 3 months __ Every 6 months __ Once a year

__ Direct mail advertising? How many pieces do you receive each week?
__ 0-5 __ 6-10 __ 11-15 __ 16-20 __ More than 20

__ Advertisements in medical journals

__ Other (please specify)
______________________________________________________________________

(B) ABOUT THIS ISSUE OF CJRM

(10) How much time did you spend reading this issue?
__ 15 min or less __ 16-30 min __ 31-45 min __ More than 45 min

(11) Please rate the design of this issue on a scale of 1 (low) to 5 (high)____________

(12) Which article was most valuable to you, as a rural physician?
______________________________________________________________________

(13) Please rank from 1 (least) to 10 (most), the value/interest of the following:

Value/Interest
____/____ Editorial: A new venture
____/____ Éditorial: Un nouveau projet
____/____ Editorial: Ambulatory epidural analgesia
____/____ Commentary: The Society of Rural Physicians
____/____ Original Article: Ambulatory epidural analgesia
____/____ The Practitioner: Country cardiograms
____/____ The Practitioner: The occasional chest tube
____/____ Regional Review: Focus on Ontario
____/____ Destination: Into the Canadian wilds
____/____ Podium: Doctors Speak Out

(14) Please rank from 1 (least) to 6 (most), the value/interest of the following:

Value/Interest
____/____ Cryptic crossword
____/____ Letters
____/____ RuralMed
____/____ Literature
____/____ Odds 'n Ends
____/____ Classified Advertising

(15) What suggestions do you have for improvements to the format/content of the journal?

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

(16) What other departments would you like to see?

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

(C) OPTIONAL (We would appreciate this information for possible follow-up of your ideas. However, be assured that your individual responses will be kept confidential by those analysing the data. Only aggregate results will be made public.)

Name:___________________________

Address:
____________________________
____________________________
____________________________

Tel:_________________________
Fax:_________________________
email:_________________________


Table of contents: Can J Rural Med 1 (1)
Copyright 1996, Canadian Medical Association