1. Why do you prescribe Suboxone?

a. Helps patients, the community, and society

b. Increases number of patients in practice

c. Other: please specify

2. Do you prescribe other opioid medications to your patients?

a. Yes

b No

3. Do you screen for opioid dependence in your practice?

a. Yes

b. No

c. Prefer not to answer

4. Are you aware of the opioid risk tool?

a. Yes

b. No

5. Do you think the insurance coverage of Suboxone is a problem for the patients?

a. Yes

b. No

6. Where would you send your patients if they wanted to seek treatment for their opioid addiction?

7. Do you think there is a social stigma among doctors to prescribe Suboxone?

a. Yes

b. No

8. Do you think there is a social stigma among patients when taking Suboxone?

a. Yes

b. No

9. How many Suboxone patients do you have?

a. 0 - 30

b. 30 - 200

c. 200 - 275

10. What are the impediments of treating more patients?

a. Insurance coverage

b. Not enough time

c. Non-compliant patient population

d. Not enough reimbursement

e. Other: please specify

11. What would motivate you to treat more Suboxone patients?

a. No response

b. Better reimbursement

c. Better insurance coverage

d. More ancillary staff (psychologists, physical therapists, other therapists)

e. Having mid-level providers (physician’s assistants and nurse practitioners)

f. Other: please specify

12. How would you recommend treating the current opioid epidemic in Orange County, New York?