We are asking that you complete the following survey to the best of your ability. All responses will be anonymous and the data will be reported in aggregate form. The term "abuse" in this questionnaire refers to child physical abuse, sexual abuse and neglect unless specified otherwise. The term "mandatory reporting law" refers to the Georgia mandatory reporting law (Official Code of Georgia § 19-7-5). 

Please pass this survey along to any primary care pediatric providers (PAs or Nurse Practitioners) that you work with.

We greatly appreciate you taking the time out of your busy day to complete this questionnaire.