Word-Import - 1 | QuestionPro

Introduction

This research is conducted to fulfill a graduate course requirement. All information gained from this survey will stay de-identified, confidential, and be analyzed only for fulfilling course requirement purposes. There will not be any type of change to this condition unless a further consent is obtained from you as a participant.

Part I

1. Are you a music therapy intern or a board-certified music therapist?

□ Intern □ Board-certified

3. If you are a board-certified music therapist, how long have you worked in this field?

4. Please circle the frequency in which you work with or co-treat with the following professionals. (One is the least frequent and seven is the most frequent)

	Frequency Level
Category

5. Please circle the frequency of referrals you receive from the following sources. (One is the least frequent and seven is the most frequent)

	Frequency Level
Category

6. Please circle your preference for working with the following professionals as part of the interdisciplinary team. (One is the least preferred and seven is the most preferred)

	Frequency Level
Category

7. Which trained professional do you receive the majority of music therapy referrals from? (Please provide one answer only)

8. Which trained professional do you receive the least amount of music therapy referrals from? (Please provide one answer only)

10. According to question number nine, please specify the reasons for your preference towards the trained professional you provided.

2. Where is the music therapy department located in your hospital/facility?

□ Music Therapy Department □ Child Life Department □ Complimentary Therapy Department

□ Other :

3. Please describe one working situation which could happen between you and each trained professional in your working environment.

Physician:

Nursing Staff:

Speech/Language Pathologist:

Physical Therapist:

Occupational Therapist:

Child Life Specialist:

4. Please provide a description of the hospital/facility which you work at.

a. What is the size of the hospital?

b. What units are in the hospital?

c. Who do you provide services to?

Thank you for your time! It is much appreciated! 