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Emotional intelligence, burn-out and communication skills in paediatric surgery

Dear Colleagues,

you are kindly invited to fill out the below questionnaire. Please note that your participationis entirely voluntary, and your responses will be kept confidential.

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1

Gender

Select one answer
2

Age in years

3

How many years have you been practising (including residency)?

Select one answer
4

What level of institution do you practice in? If you have multiple jobs, please select the highest level.

Select one answer
5

Is religion important to you?

Select one answer
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6

Expressing my emotions with words is not a problem for me.

There are seven possible responses to each statement ranging from ‘Completely Disagree’ (1 star) to ‘Completely Agree’ (7 stars)
7

I often find it difficult to see things from another person’s viewpoint.

8

On the whole, I’m a highly motivated person.

9

I usually find it difficult to regulate my emotions.

10

I generally don’t find life enjoyable.

11

I can deal effectively with people.

12

I tend to change my mind frequently.

13

Many times, I can’t figure out what emotion I'm feeling.

14

I feel that I have a number of good qualities.

15

I often find it difficult to stand up for my rights.

16

I’m usually able to influence the way other people feel.

17

On the whole, I have a gloomy perspective on most things

18

On the whole, I have a gloomy perspective on most things

19

I often find it difficult to adjust my life according to the circumstances

20

On the whole, I’m able to deal with stress.

21

I often find it difficult to show my affection to those close to me.

22

I’m normally able to “get into someone’s shoes” and experience their emotions.

23

I normally find it difficult to keep myself motivated.

24

I’m usually able to find ways to control my emotions when I want to.

25

On the whole, I’m pleased with my life.

26

I would describe myself as a good negotiator.

27

I tend to get involved in things I later wish I could get out of.

28

I often pause and think about my feelings.

29

I believe I’m full of personal strengths.

30

I tend to “back down” even if I know I’m right.

31

I don’t seem to have any power at all over other people’s feelings.

32

I generally believe that things will work out fine in my life.

33

I find it difficult to bond well even with those close to me.

34

Generally, I’m able to adapt to new environments.

35

Others admire me for being relaxed.

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36

I respect the right of patients to express themselves freely

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
37

I explore the emotions of my patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
38

I respect the autonomy and freedom of patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
39

When the patient speaks, I show interest through body gestures (nodding, eye contact, smiles, . . .)

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
40

I provide information to patients (whenever my professional competency permits me) about what concerns them

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
41

I listen to patients without prejudice, regardless of their physical appearance, mannerisms, form of expression, . . .

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
42

I express my opinions and desires clearly to patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
43

When I give information, I use silence to allow the patient to assimilate what I am saying

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
44

When I give information to patients, I do so in understandable terms

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
45

When a patient does something that does not seem right, I express my disagreement or discomfort

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
46

I dedicate time to listen and try to understand the needs of patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
47

I try to understand the feelings of my patient

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
48

When I interact with patients, I express my opinions clearly and firmly

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
49

I believe that the patient is entitled to receive health information

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
50

I feel that I respect the needs of patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
51

I find it difficult to make requests of patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
52

I make sure that patients have comprehended the information provided

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
53

I find it difficult to ask for information from patients

1=Almost never; 2=Once in a while; 3=Sometimes; 4=Normally; 5=Very often; 6=Many times
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