N˚

Identification

1

Age (in years)

2

Gender

☐ Female ☐Male

3

Category of nursing staff

☐ Specialist Nurse ☐ Non-specialist Nurse

4

Seniority in service (in years)

5

Specific training received on post-operative pain

☐ Yes ☐ No

6

If yes, what type of training was received?

☐ Initial training ☐ Continuing education

7

Length of service (in years)