Thank you for completing this survey for Climate Health Now's Healthcare Sustainability Team! Please complete the questions below and hit "submit." If you are retired, please reference the healthcare system, hospital, or clinic with which you were affiliated. If you are completing this survey and are a member of the health community in California but not part of Climate Health Now, please join us! You may do so through our website - climatehealthnow.org. Thank you! About you First Name * Last Name * Email * City * Postal Code * State/Province * County * Are you a member of the health community? * Yes No Climate Health Now defines this wider health community to include, but not be limited to, those involved in public health, clinical care services, community healing, health sector administration, health research, and development of healthcare products. We welcome trainees, students, and those who have retired from these fields. Please read here for more information (refer to this document). About the healthcare system/hospital/clinic with which you are affiliated (or were affiliated if retired) What is the name of the hospital, clinic, or healthcare system with which you are affiliated? * If other, please write in here If applicable, please select the healthcare system/s with which you are affiliated (please select more than one if applicable) Kaiser University of California Stanford University of Southern California California Northstate California Pacific Medical Center (CPMC) Cedars-Sinai Sutter Dignity Scripps Sharp Verity Health Providence Health MemorialCare Optum Independent (not affiliated with any system) Other (please write in below) UBCP (UCSF Benioff Children's Physicians) La Clinica de la Raza LifeLong Medical Care If other, please write in here Which best categorizes where you work? (please select multiple if needed) * Private Public Academic Safety-net Other If other, please write in here Which best describes the setting in which you work? (please select more than one if applicable) * Hospital Clinic Other If other, please write here Which of the following best describes your role in the health community? To read more about how Climate Health Now defines the health community, please read this: https://docs.google.com/document/d/12QzVhW0Eq5eZ59LhMTzgUP_GmxYfGTUr27ryK4hjxxo/edit * Acupuncturist Athletic trainer Audiologist Chiropractor Clinic lab technologist or technician Dental hygienist Dentist Dietitian or nutritionist Doula Emergency Medical Technician or Paramedic Genetic counselor Healthcare administrator Home health care aide Massage therapist Medical assistant or licensed vocational nurse Mental health professional Midwife Nursing assistant Occupational therapist Optometrist Pharmacist Phlebotomist Physical therapist Physician assistant Physician or surgeon Podiatrist Public health Radiology technician (e.g., sonographer, radiation therapist, nuclear medicine, cardiovascular or MRI technician) Registered nurse, nurse practitioner, nurse anesthetist, certified nurse midwife Respiratory therapist Speech therapist Surgical assistant or technologist Social worker Pharmaceutical / Medical device industry Health insurance industry Traditional healer / indigenous medicine practitioner Patient advocates / Members of patient advocacy groups Religious leader / healer Health educator Other type of health care worker / member of health community I'm not a member of the health community If applicable, please select the specialty/specialties with which you are affiliated (check as many as apply) Cardiology Critical Care Emergency Medicine Family Medicine Internal Medicine OB/GYN Pediatrics Psychiatry Student Surgery Pulmonology Geriatrics Palliative Care Other Not applicable If other, please write in here The next set of questions has to do with your interests in and experience with healthcare sustainability Please check up to 3 areas related to healthcare sustainability in which you are interested in working and/or interested in learning more * Energy - clean energy procurement Energy - energy efficiency Energy - medical imaging Water use reduction Sustainable food procurement Operating room - anesthetic gasses Operating room - general OR sustainability Telehealth Pharmacy sustainability Transportation (includes commuting by staff, patient and visitor transit, and business travel) Waste reduction - composting Waste reduction - recycling Waste reduction - conversion from single-use to reusable items Waste reduction - device reprocessing Waste reduction - efficient clinical practices Waste reduction - other (please write in below) Waste reduction - reduction of food waste Waste reduction - regulated medical waste Waste reduction - reuse and repurposing Waste reduction - sustainable procurement Waste reduction - water bottle filling stations Uncertain - I am looking for ideas! Other (please write in below) If other, please write in here Do you have an existing relationship with administrative leadership at your workplace? * Yes No Does your workplace already have an infrastructure for sustainability (eg., a sustainability officer and/or committee, a "green team," or something else)? * Yes No I don't know Please choose the statement that best applies to you * I have a sustainability project in mind already for my workplace and would like feedback / guidance on it. I do not have a sustainability project in mind already and would like some ideas of where to start. The Climate Health Now Healthcare Sustainability Resource Team has a listserv to allow team members to communicate -- would you like to be added to the listserv? You can choose to opt out at any time. * Yes No Do you have any other comments, questions, or feedback you'd like to share with us at this time? Submit
