Demographics - questions 1-9
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1. What is your age group? *
Please select one
Under 30
31-40
41-50
51-60
61-70
Over 71
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2. What is your gender? *
Please select one
Female
Male
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3. How many years have you been licensed as a psychologist? *
Please select one
Not licensed; student
Not licensed; supervised
Not licensed
Not licensed; retired
0-5 years
6-10 years
11-20 years
21-30 years
31-40 years
over 40 years
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4. With what ethnic group do you most identify? *
Please select one
African-American
Asian American or Pacific Islander
Caucasian
Hispanic or Latino
Native American
Other
No response
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5. Please indicate ALL organizations to which you belong and actively pay dues (hold the "control" key to make multiple selections). *
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6. Which of the following best describes your PRIMARY practice setting? *
Please select one
Administration
Federal government
Group practice
Multi-disciplinary
Research
Salaried practice
Solo practice
State government
Teaching
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7. So that earning trends can be analyzed, please estimate your before-tax income from all work as a psychologist for 1999 (responses are confidential). *
Please select one
No income as a psychologist.
Under $35,000
$35,001-$50,000
$50,001-$75,000
$75,001-$100,000
$100,001-$150,000
$150,001-$200,000
$200,001+
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8. So that earning trends can be analyzed, please estimate your before-tax income from all work as a psychologist for 2004 (responses are confidential). *
Please select one
No income as a psychologist.
Under $35,000
$35,001-$50,000
$50,001-$75,000
$75,001-$100,000
$100,001-$150,000
$150,001-$200,000
$200,001+
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9. So that earning trends can be analyzed, please estimate your before-tax income from all work as a psychologist for 2009 (responses are confidential). (copy) *
Please select one
No income as a psychologist.
Under $35,000
$35,001-$50,000
$50,001-$75,000
$75,001-$100,000
$100,001-$150,000
$150,001-$200,000
$200,001+
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Psychology's Environment - questions 10-14
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10. In your opinion, doe the public perceive a psychological disorder as being treatable, just like a physical illness? *
Please select one:
Yes
Uncertain
No
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11. In your opinion, does the public have a positive perception of psychology? *
Please select one:
Yes
Uncertain
No
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12. How would you rank the future of psychology as a profession? *
Please select one:
Excellent
Above average
Good
Fair
Poor
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13. If you were finishing graduate school today, would you choose clinical practice as a profession? *
Please select one:
Yes
Uncertain
No
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14. Chose the ONE statement below that best encapsulates the major problem facing West Virginia psychologists: *
Please select one:
Exclusion from managed care panels
Declining referrals
Licensing and regulatory changes
Expansion into the scope of psychology by non-psychologist providers
Inadequate reimbursement for services
Regulatory and legal discrimination against psychologists.
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Professional Practice - questions 15-28
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15. How often in your practice has a managed care reviewer attempted to limit treatment? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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16. How often do you seek third party authorization for inpatient care? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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17. How often do you avoid the appeals process because of the difficulty involved? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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18. Have your patients ever suffered further from their illness because of their health plan *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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19. Do you ever treat without payment because you are unable to achieve certification or pre-certification? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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20. How often do you consult with a psychiatrist? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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21. Does having to pay out-of-pocket costs present a problem for your patients? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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22. As a result of using their insurance benefits, how fearful are your patients about discrimination or retaliation? *
Please select one:
Always
Frequently
Occasionally
Rarely
Never
Not Applicable
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23. Please indicate all of the following organizations you have contacts regarding a complaint about a managed care/insurance company. *
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24. Please estimate your patient population of children/adolsecents. *
Please select one:
None
1-25%
26-50%
51-75%
76-100%
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25. Please estimate your patient population of adults. *
Please select one:
None
1-25%
26-50%
51-75%
76-100%
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26. Please estimate your patient population of the elderly. *
Please select one:
None
1-25%
26-50%
51-75%
76-100%
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27. Do you accept Medicare patients? *
Please select one:
Yes
No
Not applicable.
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28. Approximately what percentage of your patients have adequate insurance coverage? *
Please select one:
None
1-25%
26-50%
51-75%
76-100%
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WVPA Issues - questions 29-39
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29. I like receiving updates via WVPA's listserv concerning organized psychology, WVPA and legislative matters *
Please select one:
Yes
No
Not applicable
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30. Please select all of the following that you consider good reasons for being a member of WVPA. *
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31. Please rate the following activities of WVPA that you consider outstanding. *
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32. Please rate the following activities of WVPA that you consider above average. *
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33. Please rate the following activities of WVPA that you consider average. *
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34. Please rate the following activities of WVPA that you consider fair *
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35. Please rate the following activities of WVPA that you consider poor *
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36. Please select three items from the following list that have the MOST importance to your daily work. *
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37. How effective do you feel the WVPA legislative advocacy efforts have been? *
Please select one:
Very effective
Somewhat effective
Not very effective
Don't know
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38. Please rate the three MOST important activites to your daily work. Some are services curently provided by WVPA, and some may be under consideration. *
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39. Please rate the three LEAST important activites to your daily work. Some are services curently provided by WVPA, and some may be under consideration. *
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