General Practitioners (GPs) Pre-Participation Survey: Cervical Self-Collection Project Assessment

First Name

Last Name

Practice Name

Have you ever received training or education on cervical self-collection methods and their benefits?

On a scale of 1 to 5, with 1 being "Not at all" and 5 being "Extremely", please rate your knowledge, awareness, and confidence in encouraging self-collection for cervical screening.

How confident do you feel in navigating pathology providers and utilising technology for cervical screening? (1 = Not confident, 5 = Very confident)

Are you familiar with the process of identifying under and never screened populations using clinical software?

What is your attitude towards self-collection for cervical screening at this moment?  Please describe briefly.