1. What is your age? m 20-24 m 25-35 m 36-45 m 46-55 m 56-65 m 66-75 2. What is your gender? m Male m Female m Other 3. Which ethnic group do you identify with (please tick all that apply)? m New Zealand European m Maori m Samoan m Cook Islands Maori m Tongan m Niuean m Chinese m Indian m Other (please specify) m Would prefer not to answer 4. What is your current role? m General practitioner m Registered nurse m Enrolled nurse m Registered midwife m Colposcopy nurse m Colposcopist m Laboratory staff m Other 5. How many years have you been performing cervical smears?... 6. How long ago did you attend a training session on HPV testing (triage) and test of cure? m Never m In the last 6 months m In the last 7 to 12 months m In the last 13 to 24 months m More than 2 years ago 7. Please indicate whether you think the following statements are true or false. If you don t a. HPV is very rare b. HPV always has visible signs or symptoms c. HPV can cause cervical cancer d. HPV can be passed on by genital skin- to- skin contact e. There are many types of HPV f. HPV can cause HIV/AIDS
g. HPV usually doesn t need any treatment h. HPV can be passed on during sexual intercourse i. HPV can cause genital warts j. Men cannot get HPV K. Using condoms reduces the risk of getting HPV l. Having sex at an early age increases the risk of getting HPV m. HPV can be cured with antibiotics n. Having many sexual partners increases the risk of getting HPV o. Most sexually active people will get HPV at some point in their lives p. A person could have HPV for many years without knowing it 8. Please indicate whether you think the following statements are true or false. If you don t a. An HPV test can tell how long you have had an HPV infection c. An HPV test can be done at the same time as a Smear test b. If a woman tests positive for HPV she will definitely get cervical cancer d. HPV testing is used to indicate if the HPV vaccine is needed
e. When you have an HPV test, you get the results the same day f. If an HPV test shows that a women does not have HPV her risk of cervical cancer is low g. All cervical samples showing mild cellular changes (ASC- US/LSIL) are tested for high- risk HPV h. All cervical samples taken 6 to 12 months post treatment can be tested for high- risk HPV i. If high- risk HPV testing is negative at 12 and 24 post treatment women will still require annual follow up for life j. If cytology and high- risk HPV testing are negative at 12 and 24 post treatment, women will require a repeat smear in 3 years 9. Please indicate whether you think the following statements are true or false. If you don t a. The recommended number of HPV vaccine doses is three b. The HPV vaccine offers protection against all sexually transmitted infections c. The HPV vaccine is most effective if given to people who have never had sex d. Someone who has had HPV vaccine cannot develop cervical cancer e. The HPV vaccines offer protection against most cervical cancers f. The HPV vaccine offers protection against genital warts g. Girls who have had the HPV vaccine do not need to have smear tests (Pap test/pap smear) when they are older
10. Do you feel adequately informed about HPV? 11. Would you recommend the HPV vaccine? 12. Do you think that the vaccine should be offered to men/boys as well? 13. Are you able to confidently answer HPV related questions asked by the patients? 14. Do you have any suggestions on how we may improve the delivery of training on HPV for healthcare providers? 15. How easy was this survey to fill out? m Easy m Somewhat easy m Average m Difficult m Impossible 16. How did you find the length of this questionnaire? m Too short m Just right m Too long
17. Were there any questions that did not make sense? Please note the number of any questions that you found particularly difficult to understand 18. Do you have any suggestions for how we could improve this questionnaire? Thank you for completing this survey!