QUESTIONNAIRE DATA COLLECTION
A. AGE DISTRIBUTION
Age
N=1
Distribution
24 years old
below
25 y.o – 31 y.o 2
32 y.o – 38 y.o 4
39 y.o – 45 y.o
46 y.o – 52 y.o
53 y.o – 59 y.o
60 y.o – 65 y.o
SEX
MALE FEMALE
3 1
B. CIVIL STATUS DISTRIBUTION
Civil Status
N=1
Distribution
Single 4
Married 1
Separated
Widow
C. YEAR/S OF SERVICE DISTRIBUTION
Year/s of
Services N=1
Distribution
1 year 1
2 years
3 years 3
4 years 2
5 years
6 years
D. SPECIALIZATION DISTRIBUTION
SPECIALIZATIO
N=1
N
Family and
Community
Medicine
OB – GYNE
Radiology
Internal Medicine 1
Pathology
ORL – HNS
Surgery 2
Pediatrics 1
Ophthalmology
Anesthesiology
Orthopedics 2
NUMBER OF DEPENDENTS / HOUSEHOLD:
NO. OF
PERCENTAGE
HOUSEHOLDS
1 1
2 1
3 2
4 OR MORE
MONTHLY INCOME
MONTHLY INCOME PERCENTAGE
Below Php 10,000.0
10,001.00 – 20,000.00
20,001.00 – 30,000.00
30,001.00 – 40,000.00
40,001.00 – 50,000.00 1
50,001.00 and above 5
RELIGION
RELIGION PERCENTAGE
Catholic 1
Roman Catholic 5
Seventh Day Adventist
Muslim
Iglesia Filipina
Indepediente
Others
ADVERSITY QUOTIENT PROFILE
Adversity Response Profile
ARP QUICK TAKE Not at All 1 2 3 4 5 Completely
1. You Suffer a financial setback.
To what extend can you influence 1 3 1
the situation?
2. You are overlooked for a
promotion. To what extent do you
4 1
feel responsible for improving this
situation?
3. You are criticized for big project
that you just completed. The 2 3
consequences of this situation will:
4.You accidentally delete a very
important E-mail. The 2 3
consequences of this situation will:
5. The high-priority project you are
working on gets canceled. The 2 3
consequences of this situation will:
6. Someone you respect ignores
your attempt to discuss an
important issue. To what extent 3 2
do you feel responsible for
improving this situation?
7. People respond unfavorably to
your latest ideas to what extent 2 3
can you influence this situation?
8. You are unable to take a much-
needed vacation. The 4 1
consequences of this situation will:
9.You hit every red light on your
way to an important appointment.
2 2 1
The consequences of this situation
will:
10. After extensive searching, you
cannot find an important
4 1
document. The consequences of
this situation will:
11. Your workplace is
understaffed. To what extent do
5
you feel responsible for improving
this situation?
12. You miss an important
appointment. The consequences 3 2
of this situation will:
13.Your personal and work
obligations are out of balance. To
2 2 1
what extent can you influence this
situation?
14.You never seem to have
enough money. The consequences 1 4 1
of this situation will:
15. You are not exercising
regularly when you know you
1 2 1 1
should be. To what extent can you
influence this situation?
16. Your organization is not 5
meeting its project goals. To what
extent do you feel responsible for
improving this situation?
17.Your computer crashed for the
third time this week. To what
2 1 1 1
extent can you influence this
situation?
18. The meeting you are in is a
total waste of time. To what
3 1 1
extent do you feel responsible for
improving this situation?
19. You lost something that is
important to you. The 1 4
consequences of this situation will:
20. Your boss adamantly
disagrees with your decision. The 3 3
consequences of this situation will:
APPENDICIES
AUTONOMY
Queries in terms of AUTONOMY SA A N D SD
1. Clinical guidelines restrict my freedom to practice. 2 1 1
2. Outside reviewers rarely question my professional
2 3
judgments.
3. Formularies or prescription limits restricts the quality
3 1 1
of care I provide.
4. I am able to refer patients or receive referrals when
2 2
necessary.
5. Gatekeeping requirements seldom conflict with my
1 2 1
clinical judgment.
PERSONAL TIME
Queries in terms of PERSONAL TIME SA A N D SD
6. Work rarely encroaches on my personal time. 3 1 1
7. My work schedule leaves me enough time for my
3 1 1
family life.
8. The interruption of my personal life by work is a
3 2
problem.
9. The amount of call I am required to take is not
1 2 1 1
excessive.
RELATIONSHIPS WITH PATIENTS
Queries in terms of RELATIONSHIPS WITH
SA A N D SD
PATIENTS
10. I feel a strong personal connection with my
4 1
patients.
11. the gratitude displayed by my patients keep me
3 2
going.
PATIENT CARE ISSUES
Queries in terms of PATIENTS CARE ISSUES SA A N D SD
12. My relationship with patients is more adversarial
3 1 1
that is used to be.
13. I am overwhelmed by the needs of my patients. 2 1 2
14. Many patients demand potentially unnecessary
3 1 1
treatments.
15. Time pressures keep me from developing good 3 1 1
patient relationships.
PATIENTS CARE ISSUES
Queries in terms of PATIENTS CARE ISSUES SA A N D SD
16. My physician colleagues are a good source of
1 4
professional stimulation.
17. I get along well with my physician colleagues. 1 4
18. My physician colleagues value my unique
1 3 1
perspective in practice.
19.My physician colleagues are an important source of
1 3 1
personal support.
RELATIONSHIP WITH STAFF
Queries in terms of RELATIONSHIP WITH STAFF SA A N D SD
20. Nonphysicians in my practice support my
1 2 2
professional judgement.
21. My nonphysician colleagues are a major source of
1 1 2
professional support
22. Nonphysician staff in my practice are not
1 1 1 1
accommodating.
RELATIONSHIP WITH COMMUNITY
Queries in terms of RELATIONSHIP WITH
SA A N D SD
COMMUNITY
23. I do not feel at home in the community where I
1 2 1
practice.
24. I feels a sense of belonging to the community
1 1 2
where I practice.
25. My family and I are strongly connected to the
1 3
community where I work.
INCOME
Queries in terms of INCOME SA A N D SD
26. My total compensation package is fair 1 1 3
27. I am not well compensated given my training and
1 4
experience.
28. I am not well compensated compared to physicians
1 4
in other specialties.
ADMINISTRATION
Queries in terms of ADMINISTRATION SA A N D SD
29. My role in managing the business aspects of my
1 3 1
practice is not a burden to me.
30. Paperwork required by payers is a burden to me. 1 3 1
31.I have too much administrative work to do. 1 3 1
RESOURCES
Queries in terms of RESOURCES SA A N D SD
32. Medical supplies are available when I needed them. 1 2 2
33. I have sufficient exam room space to see my
1 1 3
patients.
34. I have adequate equipment for office procedures. 1 2 2
35. The are not enough support staff in my practice. 1 1 2 1
GLOBAL JOB SATISFACTION
Queries in terms of GLOBAL JOB SATISFACTION SA A N D SD
36. I find my present clinical work personally
1 4
rewarding.
37. Overall, I am pleased with my work. 1 4
38.Overall, I am satisfied in my current practice. 1 3 1
39. My current work situation is a major source of
1 2 2
frustrations.
40. My work in this practice has not met up my
2 2 1
expectations.
CAREER SATISFACTION
Queries in terms of CAREER SATISFACTION SA A N D SD
41. If I were to choose over again. I would not become
1 1 1 2
a physician.
42. All things considered, I am satisfied with my career
1 4
as a physician.
43. In general, my medical career has met my
1 3 1
expectations.
44. I would recommend medicine to others. 5
SPECIALTY SATISFACTION
Queries in terms of SPECIALTY SATISFACTION SA A N D SD
45. My specialty no longer has the appeal to me it used
2 3
to have.
46. If I were to start my career over again, I would
1 4
choose my current specialty.
47.I would recommend my specialty to a student
1 4
seeking advice.