Domain | Question | Optional Answer | Who answered it | With or Without Mask Use |
---|---|---|---|---|
Listening Effort | #14: Rate your listening effort or difficulty during appointments | 1. No difficulty at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extreme difficulty | Both patient and provider | With Mask use and Without Mask Use |
Communication | #15: Rate your ability to understand your patients during appointments | 1. No difficulty at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extreme difficulty | Provider | With Mask use and Without Mask Use |
Communication | #16: Rate your ability to understand your healthcare provider during appointments | 1. No difficulty at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extreme difficulty | Patient | With Mask use and Without Mask Use |
Communication | #17: Do you have more trouble understanding people around you in a clinical setting when you are wearing a mask? | 1. Never 2. Sometimes 3. About half the time 4. Most of the time 5. Always | Both patient and provider | With Mask use |
Communication | #22: How would you rate your ability to connect with patients? | 1. Extremely easy 2. Moderately easy 3. Slightly easy 4. Neither easy nor difficult 5. Moderately difficult 6. Extremely difficult | Provider | With mask use And Without mask use |
Communication | #28: How interested are you in participating in conversations? | 1. Not at all 2. A little 3. A moderate amount 4. A lot 5. A great deal | Patient | With Mask use And Without Mask Use |
Clinical Efficiency | #26: Overall, rate your change in efficiency as a provider as a result of mask use | 1. Not at all 2. A little bit 3. A moderate amount 4. A lot 5. A great deal | Provider | With Mask Use |
Cognition | #27: Do you find it more difficult remembering information or focusing during your appointments while wearing a mask? | 1. Not at all 2. A little 3. A moderate amount 4. A lot 5. A great deal | Patient | With mask use |
Cognition | #21: I feel like it is more difficult to remember information from my appointment with mask use | 1. Almost always 2. Often 3. A moderate amount 4. Rarely 5. Not at all | Provider | With mask use |