0720-0031_TSS-P 2019 Internet Survey Screenshots_10.15.2018

TRICARE: Select Survey of Civilian Providers

0720-0031_TSS-P 2019 Internet Survey Screenshots_10.15.2018

OMB: 0720-0031

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TRICARE SELECT SURVEYS-PROVIDERS (TSS-P)

FY2019 WEB SURVEY

  1. MD SURVEY

INTRO1:



TRANSITION:



















Q1:



Q1A (IF ‘NO, NOT IN PRIVATE PRACTICE’ AT Q1):



















END (IF ‘NO, DOES NOT PROVIDE TREATMENT, OR HAS RETIRED’ AT Q1):



















Q2:



















Q3:





Q4:



















Q5 (IF ‘NO’ AT Q4):



















Q6:



















Q7:







Q8:



















END (IF ‘YES’ TO Q8):



















Q9 (IF ‘NO’ TO Q8):



















Q10 (IF ‘NO’ OR ‘DON’T KNOW’ AT Q8):



















Q11 (IF ‘NO’ OR ‘DON’T KNOW’ AT Q8):







END:

END OF MD SURVEY



  1. BEHAVIORAL HEALTH PROVIDER SURVEY



INTRO1:



TRANSITION:



















Q1:

































Q1A (IF ‘NO, NOT IN PRIVATE PRACTICE’ AT Q1):

































END (IF ‘NO, DOES NOT PROVIDE TREATMENT, OR HAS RETIRED’ AT Q1):





















Q1B (IF SAMPLE TYPE = ‘BEHAVIORAL HEALTH PROVIDER’):

































Q2:

































Q3:











Q4:































Q5 (IF ‘NO’ AT Q4):































Q6:

































Q7:





















Q8:



















END (IF ‘YES’ TO Q8):





















Q9 (IF ‘NO’ TO Q8):

































Q10 (IF ‘NO’ OR ‘DON’T KNOW’ AT Q8):

































Q11 (IF ‘NO’ OR ‘DON’T KNOW’ AT Q8):



































END:



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleTRICARE Select Survey of Civilian Providers
AuthorAdministrator
File Modified0000-00-00
File Created2022-10-06

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