Mississippi Health Professionals for Climate and Health Equity (MSHPCHE)Health Provider Survey

This MSHPCHE survey is designed to assess baseline climate health knowledge, perceptions ,and needs of the health/healthcare community of providers . Please take 10 minutes to complete to help our organization best serve you/your clients/your community All data is aggregated and responses are confidential. Participation is voluntary and responses will not be shared for advertising. Please proceed if you agree to participate.

Question Title

* 1. Please enter your Contact Information ( email or phone #) here if you would like to enter a raffle for a solar powered phone charger or Deluxe Bamboo Cheeseboard ( Winner's Choice)

Question Title

* 2. What is your age range ?

18-34

35-44

45-54

55-64

65-74

75 or older

Question Title

* 3. How do you identify regarding race?

American Indian or Alaskan native

Asian

Black or African American

Native Hawaiian or other Pacific Islander

White

Other (please specify)

Question Title

* 4. What is your Ethnicity?

Hispanic or Latino/a

Not Hispanic or Latino/a

Question Title

* 5. What's your current (or former, if retired) primary work location ?

Urban

Suburban

Rural

Multiple

State-wide

Question Title

* 6. What is your primary area of training/work/occupation?

Community Health Worker

Community Organization Advocate/ Leader

Dentist

Nurse/Nurse Practitioner

Social Worker

Public Health Practitioner

Pharmacist

Public Health/Medical/Nursing student

Physician, Please specify Specialty

None of the above

Question Title

* 7. What percentage of the population you serve is non-white ?

1-24%

25 %-50 %

51 % - 75%

Greater then 75%

Not Applicable

Question Title

* 8. Aside from being a health professional, how much experience do you have in Climate change work?

A great deal

A moderate amount

An average amount

Only a little

None at all

Question Title

* 9. Who/what do you think has contributed MOST to climate change over the past 150 years ?

Caused ENTIRELY by Human activities

Caused MOSTLY by Human Activities

Caused about EQUALLY By Human Activities and Natural Changes in the Environment

Caused MOSTLY By Natural Changes in the Environment

Caused ENTIRELY by Natural changes in the Environment

None of the above, because climate change isn't happening

Question Title

* 10. What is your level of understanding about the impact of climate change on human health ?

Very Knowledgeable (Expert)

Moderately Knowledgeable

A little knowledgeable

Not at all knowledgeable

Other (please specify)

Question Title

* 11. How much do these statements align with what your beliefs?

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
i feel that climate change is a significant health issue	i feel that climate change is a significant health issue Strongly Agree	i feel that climate change is a significant health issue Agree	i feel that climate change is a significant health issue Neutral	i feel that climate change is a significant health issue Disagree	i feel that climate change is a significant health issue Strongly Disagree
The actions I take personally and professionally can impact climate change	The actions I take personally and professionally can impact climate change Strongly Agree	The actions I take personally and professionally can impact climate change Agree	The actions I take personally and professionally can impact climate change Neutral	The actions I take personally and professionally can impact climate change Disagree	The actions I take personally and professionally can impact climate change Strongly Disagree
Citizens themselves should do more to address climate change	Citizens themselves should do more to address climate change Strongly Agree	Citizens themselves should do more to address climate change Agree	Citizens themselves should do more to address climate change Neutral	Citizens themselves should do more to address climate change Disagree	Citizens themselves should do more to address climate change Strongly Disagree

Question Title

* 12. How do you estimate the following effects?

	Extremely (To a very Great Extent)	Very	Moderately	Slightly	Not at all
To what extent do you feel that climate change change has caused harm to people in your community/city/country in the past decade	To what extent do you feel that climate change change has caused harm to people in your community/city/country in the past decade Extremely (To a very Great Extent)	To what extent do you feel that climate change change has caused harm to people in your community/city/country in the past decade Very	To what extent do you feel that climate change change has caused harm to people in your community/city/country in the past decade Moderately	To what extent do you feel that climate change change has caused harm to people in your community/city/country in the past decade Slightly	To what extent do you feel that climate change change has caused harm to people in your community/city/country in the past decade Not at all
To what extend do you feel climate change impacts direct patient care?	To what extend do you feel climate change impacts direct patient care? Extremely (To a very Great Extent)	To what extend do you feel climate change impacts direct patient care? Very	To what extend do you feel climate change impacts direct patient care? Moderately	To what extend do you feel climate change impacts direct patient care? Slightly	To what extend do you feel climate change impacts direct patient care? Not at all
To what extent w do you feel climate change has affected the patients you care for/the populations you serve ?	To what extent w do you feel climate change has affected the patients you care for/the populations you serve ? Extremely (To a very Great Extent)	To what extent w do you feel climate change has affected the patients you care for/the populations you serve ? Very	To what extent w do you feel climate change has affected the patients you care for/the populations you serve ? Moderately	To what extent w do you feel climate change has affected the patients you care for/the populations you serve ? Slightly	To what extent w do you feel climate change has affected the patients you care for/the populations you serve ? Not at all

Question Title

* 13. How much do these statements align with your beliefs about the placement of climate education ?

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
I feel like education about climate change and its impact on health should be included in Medical (school) education	I feel like education about climate change and its impact on health should be included in Medical (school) education Strongly Agree	I feel like education about climate change and its impact on health should be included in Medical (school) education Agree	I feel like education about climate change and its impact on health should be included in Medical (school) education Neutral	I feel like education about climate change and its impact on health should be included in Medical (school) education Disagree	I feel like education about climate change and its impact on health should be included in Medical (school) education Strongly Disagree	I feel like education about climate change and its impact on health should be included in Medical (school) education N/A
I feel like education about climate change and its impact on health should be included in Public health education	I feel like education about climate change and its impact on health should be included in Public health education Strongly Agree	I feel like education about climate change and its impact on health should be included in Public health education Agree	I feel like education about climate change and its impact on health should be included in Public health education Neutral	I feel like education about climate change and its impact on health should be included in Public health education Disagree	I feel like education about climate change and its impact on health should be included in Public health education Strongly Disagree	I feel like education about climate change and its impact on health should be included in Public health education N/A
I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health	I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health Strongly Agree	I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health Agree	I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health Neutral	I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health Disagree	I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health Strongly Disagree	I feel like education about climate change and its impact on health should be included in Professional health education schools ( Nursing, Pharmacy, Dentistry, Social Work ) and Allied Health N/A
I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health	I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health Strongly Agree	I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health Agree	I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health Neutral	I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health Disagree	I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health Strongly Disagree	I feel that the medical or health professional societies I am involved should be involved in education/advocacy related to climate impact on health N/A
I feel that education about climate change should be included in secondary education	I feel that education about climate change should be included in secondary education Strongly Agree	I feel that education about climate change should be included in secondary education Agree	I feel that education about climate change should be included in secondary education Neutral	I feel that education about climate change should be included in secondary education Disagree	I feel that education about climate change should be included in secondary education Strongly Disagree	I feel that education about climate change should be included in secondary education N/A

Question Title

* 14. Please respond to these questions about the role of physicians and other health providers

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Health /Health care professionals are obligated to inform their patients/clients about the impact of climate change on their health	Health /Health care professionals are obligated to inform their patients/clients about the impact of climate change on their health Strongly Agree	Health /Health care professionals are obligated to inform their patients/clients about the impact of climate change on their health Agree	Health /Health care professionals are obligated to inform their patients/clients about the impact of climate change on their health Neutral	Health /Health care professionals are obligated to inform their patients/clients about the impact of climate change on their health Disagree	Health /Health care professionals are obligated to inform their patients/clients about the impact of climate change on their health Strongly Disagree
I feel that health professionals should inform the public about the impact of climate change on their health	I feel that health professionals should inform the public about the impact of climate change on their health Strongly Agree	I feel that health professionals should inform the public about the impact of climate change on their health Agree	I feel that health professionals should inform the public about the impact of climate change on their health Neutral	I feel that health professionals should inform the public about the impact of climate change on their health Disagree	I feel that health professionals should inform the public about the impact of climate change on their health Strongly Disagree
I feel that health professionals should assist in leading workplaces ( offices, clinics, hospitals, agencies, institutions ) in being environmentally sustainable	I feel that health professionals should assist in leading workplaces ( offices, clinics, hospitals, agencies, institutions ) in being environmentally sustainable Strongly Agree	I feel that health professionals should assist in leading workplaces ( offices, clinics, hospitals, agencies, institutions ) in being environmentally sustainable Agree	I feel that health professionals should assist in leading workplaces ( offices, clinics, hospitals, agencies, institutions ) in being environmentally sustainable Neutral	I feel that health professionals should assist in leading workplaces ( offices, clinics, hospitals, agencies, institutions ) in being environmentally sustainable Disagree	I feel that health professionals should assist in leading workplaces ( offices, clinics, hospitals, agencies, institutions ) in being environmentally sustainable Strongly Disagree
I believe that physicians and other health professionals should be on the forefront of climate change	I believe that physicians and other health professionals should be on the forefront of climate change Strongly Agree	I believe that physicians and other health professionals should be on the forefront of climate change Agree	I believe that physicians and other health professionals should be on the forefront of climate change Neutral	I believe that physicians and other health professionals should be on the forefront of climate change Disagree	I believe that physicians and other health professionals should be on the forefront of climate change Strongly Disagree

Question Title

* 15. In what ways do you feel patients/clients/communities are being impacted by climate change? (Select ALL that apply)

Heat related impacts, like heatstroke and heat exhaustion

Vector-borne illnesses like Lyme disease, Zika, West Nile , Dengue Fever, Malaria

Food and/or waterborne illnesses like Salmonella, Giardia, Cyrptosporidia, with contributing factors like heavy rainfall and flooding

Injuries related to storms, flooding, droughts, and fire( wildfires)

Air pollution worsening conditions like COPD, Asthma, Cardiovascular disease , Pregnancy

Increased exposures to plants or mold that increase healthcare visits related to asthma/allergic symptoms

Mental health issues

Falling green house gas levels in urban areas

I don't feel there is significant impact

Question Title

* 16. What are some barriers that make it difficult for you to address climate change-related health issues with your patients/clients/ community members ? ( Select All that apply)

I don't feel climate change is occurring.

Patients or clients that I care for have limited interest in or knowledge about climate change impacts, making it difficult to discuss

Community members in my catchment area have limited interest in or knowledge about climate change impacts, hindering outreach

I don't feel addressing these issues will make much difference in their health

I don't know how to approach the issue with my patients/clients

Time constraints

This is not a billable activity

Other Barriers (please specify)

Question Title

* 17. My workplace and/or organization is well-prepared for responding to climate-related events like disasters emergencies, extreme weather events, increase in certain diseases.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Not Sure

Question Title

* 18. Which of the following resources would you find helpful in learning more about climate change and health impact ?

Policy statements form health professional organizations

Continuing education /Continuing medical eduction ( Virtual or In-person) about climate change impact on health

Educational materials for patients/clients/community outreach

Articles/ Web-based Resources

Advocacy Opportunities

Other (please specify)

Question Title

* 19. Please rank the importance of the following topics to you. Rank from 1 to 5 with 5 being the highest

General Principles related to climate related impact on human health
Excessive Heat Impact
Impact of Health Care systems on Climate Change
Extreme weather events
Air pollution /Air Quality
Gulf Coastal sea Level rise
Other ( You may specify in the comment section)

Question Title

* 20. What is your level of agreement with these climate change solutions?

	Strongly Agree	Agree	Neither Agree or Disagree	Disagree	Strongly Disagree
Corporations and industry should do more to address global warming	Corporations and industry should do more to address global warming Strongly Agree	Corporations and industry should do more to address global warming Agree	Corporations and industry should do more to address global warming Neither Agree or Disagree	Corporations and industry should do more to address global warming Disagree	Corporations and industry should do more to address global warming Strongly Disagree
Provide tax rebates for people who buy energy efficient vehicles	Provide tax rebates for people who buy energy efficient vehicles Strongly Agree	Provide tax rebates for people who buy energy efficient vehicles Agree	Provide tax rebates for people who buy energy efficient vehicles Neither Agree or Disagree	Provide tax rebates for people who buy energy efficient vehicles Disagree	Provide tax rebates for people who buy energy efficient vehicles Strongly Disagree
Expand offshore drilling for oil and natural gas off the US coast	Expand offshore drilling for oil and natural gas off the US coast Strongly Agree	Expand offshore drilling for oil and natural gas off the US coast Agree	Expand offshore drilling for oil and natural gas off the US coast Neither Agree or Disagree	Expand offshore drilling for oil and natural gas off the US coast Disagree	Expand offshore drilling for oil and natural gas off the US coast Strongly Disagree
Require utilities to produce 20% electricity from renewable energy	Require utilities to produce 20% electricity from renewable energy Strongly Agree	Require utilities to produce 20% electricity from renewable energy Agree	Require utilities to produce 20% electricity from renewable energy Neither Agree or Disagree	Require utilities to produce 20% electricity from renewable energy Disagree	Require utilities to produce 20% electricity from renewable energy Strongly Disagree
Require fossil fuel companies to pay a carbon tax	Require fossil fuel companies to pay a carbon tax Strongly Agree	Require fossil fuel companies to pay a carbon tax Agree	Require fossil fuel companies to pay a carbon tax Neither Agree or Disagree	Require fossil fuel companies to pay a carbon tax Disagree	Require fossil fuel companies to pay a carbon tax Strongly Disagree
Global warming should be a high priority for the next President and Congress	Global warming should be a high priority for the next President and Congress Strongly Agree	Global warming should be a high priority for the next President and Congress Agree	Global warming should be a high priority for the next President and Congress Neither Agree or Disagree	Global warming should be a high priority for the next President and Congress Disagree	Global warming should be a high priority for the next President and Congress Strongly Disagree
Funding research about renewable energy sources	Funding research about renewable energy sources Strongly Agree	Funding research about renewable energy sources Agree	Funding research about renewable energy sources Neither Agree or Disagree	Funding research about renewable energy sources Disagree	Funding research about renewable energy sources Strongly Disagree
Regulate CO2 as a pollutant	Regulate CO2 as a pollutant Strongly Agree	Regulate CO2 as a pollutant Agree	Regulate CO2 as a pollutant Neither Agree or Disagree	Regulate CO2 as a pollutant Disagree	Regulate CO2 as a pollutant Strongly Disagree

Other (please specify)

Question Title

* 21. Do you have an interest in assisting with education and/or advocacy focusing on climate and health at a community level ?

Yes (May Add contact Information or Contact us at https://www.msclimateandhealthequity.com/ OR publichealthpromoter@gmail.com)

Mississippi Health Professionals for Climate and Health Equity (MSHPCHE)Health Provider Survey

Question Title

* 1. Please enter your Contact Information ( email or phone #) here if you would like to enter a raffle for a solar powered phone charger or Deluxe Bamboo Cheeseboard ( Winner's Choice)

Question Title

* 2. What is your age range ?

Question Title

* 3. How do you identify regarding race?

Question Title

* 4. What is your Ethnicity?

Question Title

* 5. What's your current (or former, if retired) primary work location ?

Question Title

* 6. What is your primary area of training/work/occupation?

Question Title

* 7. What percentage of the population you serve is non-white ?

Question Title

* 8. Aside from being a health professional, how much experience do you have in Climate change work?

Question Title

* 9. Who/what do you think has contributed MOST to climate change over the past 150 years ?

Question Title

* 10. What is your level of understanding about the impact of climate change on human health ?

Question Title

* 11. How much do these statements align with what your beliefs?

Question Title

* 12. How do you estimate the following effects?

Question Title

* 13. How much do these statements align with your beliefs about the placement of climate education ?

Question Title

* 14. Please respond to these questions about the role of physicians and other health providers

Question Title

* 15. In what ways do you feel patients/clients/communities are being impacted by climate change? (Select ALL that apply)

Question Title

* 16. What are some barriers that make it difficult for you to address climate change-related health issues with your patients/clients/ community members ? ( Select All that apply)

Question Title

* 17. My workplace and/or organization is well-prepared for responding to climate-related events like disasters emergencies, extreme weather events, increase in certain diseases.

Question Title

* 18. Which of the following resources would you find helpful in learning more about climate change and health impact ?

Question Title

* 19. Please rank the importance of the following topics to you. Rank from 1 to 5 with 5 being the highest

Question Title

* 20. What is your level of agreement with these climate change solutions?

Question Title

* 21. Do you have an interest in assisting with education and/or advocacy focusing on climate and health at a community level ?

Question Title

* 22. Do you have other comments, questions, concerns?