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The slogan we adopted for the TTS 2022 Congress is "Committed to Access and Transparency" and as a lead-up to the Congress we have launched this new needs assessment survey which will aid TTS in developing new programs, educational material and strategies to better improve access and transparency in the field of transplantation. As a non-governmental organization in official relations with the World Health Organization (WHO) the information collected will feed into the work TTS is doing as part of our WHO collaboration. Your support, by completing this survey, will contribute to the success of this initiative. Your answers will be kept confidential and anonymous. Completing and submitting the survey is considered as providing consent.

Table of contents*:

Section 1: To be answered by program directors
Section 2: To be answered by all transplant physicians and transplant surgeons
Section 3: To be answered by transplant nephrologists and kidney transplant surgeons
Section 4: To be answered by transplant hepatologists and liver transplant surgeons
Section 5: To be answered by intestinal failure specialists and intestinal transplant surgeons
Section 6: To be answered by transplant cardiologists and cardiac transplant surgeons
Section 7: To be answered by transplant respirologists and lung transplant surgeons
Section 8: To be answered by pancreas transplant specialist and pancreas transplant surgeons
Section 9: To be answered by critical care specialists
Section 10: To be answered by vascularized composite allograft specialists
Section 11. Demographics: To be answered by all respondents

The estimated time to complete the question addressed to program directors is 6 minutes.
The estimated time to complete the question addressed to all transplant physicians and transplant surgeons + one organ specific question, according to your specialty is 6 minutes

*To be completed by transplant surgeons and physicians caring for adult patients.

Section 4. To be answered by transplant hepatologists and liver transplant surgeons

4.1 Please answer the following questions

Are you a transplant hepatologist and liver transplant surgeons?
(additional questions will appear if yes is selected)(*)

Yes No

Required

Are ex-vivo perfusion devices available in your hospital?

Yes No I do not know Invalid Input

Is there a mechanism to transport deceased donor livers by plane in your country?

Yes No I do not know Invalid Input

Comments

Invalid Input

Section 4.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowledge level

Invalid Input

Accepting livers from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting split livers (in-situ or ex-vivo)

Invalid Input

Accepting livers from donors with steatosis (>30% macro-steatosis)

Invalid Input

Accepting livers from donors with circulatory determination of death

Invalid Input

Accepting pediatric livers for adult recipients

Invalid Input

Accepting livers from donors >70 years

Invalid Input

Comments

Invalid Input

4.3 Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Accepting livers from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting split livers (in-situ or ex-vivo)

Invalid Input

Accepting livers from donors with steatosis (>30% macro-steatosis)

Invalid Input

Accepting livers from donors with circulatory determination of death

Invalid Input

Accepting pediatric livers for adult recipients

Invalid Input

Accepting livers from donors >70 years

Invalid Input

Comments

Invalid Input

Section 5. To be answered by intestinal failure specialists and intestinal transplant surgeons

5.1 Please answer the following questions

Are you an intestinal failure specialist or an intestinal transplant surgeon?
(additional questions will appear if yes is selected)(*)

Yes No

Required

Are there pulsatile perfusion pumps available at your hospital?

Yes No I do not know Invalid Input

Comments

Invalid Input

Section 5.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowledge level

Invalid Input

Accepting small bowels from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting small bowels from donors with hemodynamic instability including cardiac arrest

Invalid Input

Accepting small bowels from pediatric donors to adult recipients

Invalid Input

Accepting small bowels from donors with simultaneous in-situ liver recovery

Invalid Input

Accepting small bowels from donors with circulatory determination of death

Invalid Input

Utilization of reduced size intestinal grafts for pediatric recipients

Invalid Input

Comments

Invalid Input

Section 5-3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Accepting small bowels from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting small bowels from donors with hemodynamic instability including cardiac arrest

Invalid Input

Accepting small bowels from pediatric donors to adult recipients

Invalid Input

Accepting small bowels from donors with simultaneous in-situ liver recovery

Invalid Input

Accepting small bowels from donors with circulatory determination of death

Invalid Input

Utilization of reduced size intestinal grafts for pediatric recipients

Invalid Input

Comments

Invalid Input

Section 6: To be answered by transplant cardiologists and cardiac transplant surgeons

Are you a transplant cardiologist or cardiac transplant surgeon?
(additional questions will appear if yes is selected)(*)

Yes No

Required

Section 6.1: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowledge level

Invalid Input

Accepting hearts from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting hearts from donors >50 year-old

Invalid Input

Accepting hearts from donors >60 year-old

Invalid Input

Accepting hearts from donors with cardiac arrest in the last 24 hours

Invalid Input

Accepting hearts from donors with heart arrest lasting >20 minutes

Invalid Input

Accepting hearts from donors with heart arrest lasting >30 minutes

Invalid Input

Accepting hearts from donors with inotropic support (>2 drugs)

Invalid Input

Accepting hearts from donors on dobutamine >5 mcg/kg/min

Invalid Input

Accepting hearts from donors on dobutamine <5 mcg/kg/min

Invalid Input

Accepting hearts from donors on norepinephrine >0.4 mg/kg/min

Invalid Input

Accepting hearts from donors with serum sodium 165-170

Invalid Input

Accepting hearts from donors with left ventricular ejection fraction <45% on echocardiogram

If yes to above what is the age cut-off?

Invalid Input

Accepting hearts from donation from circulatory determination of death

Invalid Input

Accepting hearts from donors on ventilation >10 days

Invalid Input

Accepting hearts from donors with mild-moderate left ventricular hypertrophy

Invalid Input

Accepting hearts from donors with mild coronary artery disease

Invalid Input

Accepting hearts from donors with valvular heart disease (bicuspide aortic valve, mild-moderate aortic regurgitation, mitral regurgitation, tricuspide regurgitation)

Invalid Input

Accepting hearts with >20% undersize in the absence of pulmonary hypertension

Invalid Input

Do you use machine perfusion for donor hearts (Marginal donation from neurological determination of death, donation from circulatory determination of death or both)

Invalid Input

Comments

Invalid Input

Section 6-2: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Accepting hearts from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting hearts from donors >50 year-old

Invalid Input

Accepting hearts from donors >60 year-old

Invalid Input

Accepting hearts from donors with cardiac arrest in the last 24 hr

Invalid Input

Accepting hearts from donors with heart arrest lasting >20 minutes

Invalid Input

Accepting hearts from donors with heart arrest lasting >30 minutes

Invalid Input

Accepting hearts from donors with inotropic support (>2 drugs)

Invalid Input

Accepting hearts from donors on dobutamine >5 mcg/kg/min

Invalid Input

Accepting hearts from donors on dobutamine <5 mcg/kg/min

Invalid Input

Accepting hearts from donors on norepinephrine >0.4 mg/kg/min

Invalid Input

Accepting hearts from donors with serum sodium 165-170

Invalid Input

Accepting hearts from donors with left ventricular ejection fraction <45% on echocardiogram

If yes to above what is the age cut-off?

Invalid Input

Accepting hearts from donation from circulatory determination of death

Invalid Input

Accepting hearts from donors on ventilation >10 days

Invalid Input

Accepting hearts from donors with mild-moderate left ventricular hypertrophy

Invalid Input

Accepting hearts from donors with mild coronary artery disease

Invalid Input

Accepting hearts from donors with valvular heart disease (bicuspide aortic valve, mild-moderate aortic regurgitation, mitral regurgitation or tricuspide regurgitation)

Invalid Input

Accepting hearts with >20% undersize in the absence of pulmonary hypertension

Invalid Input

Do you use machine perfusion for donor hearts (Marginal donation from neurological determination of death, donation from circulatory determination of death or both)

Invalid Input

Comments

Invalid Input

Section 7: To be answered by transplant respirologists and lung transplant surgeons

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Are you a transplant respirologist or lung transplant surgeon?
(additional questions will appear if yes is selected)(*)

Yes No

Required

Section 7-1: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowledge level

Invalid Input

Accepting lungs from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting lungs from donors >60 years old

Invalid Input

Accepting lungs from donors >70 years old

Invalid Input

Accepting lungs from donors with history of cigarette smoking

If yes, please specify the number of packs per year

Invalid Input

Accepting lungs from donors with PaO2/FiO2 <300 mmHg

Invalid Input

Accepting lungs from donors with PaO2/FiO2 <250 mmHg

Invalid Input

Do you use machine perfusion for donor lungs (Marginal donation from neurological determination of death, donation from circulatory determination of death or both)

Invalid Input

Comments

Invalid Input

Section 7-2 Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Accepting lungs from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting lungs from donors >60 year-old

Invalid Input

Accepting lungs from donors >70 year-old

Invalid Input

Accepting lungs from donors >70 year-old

If yes, please specify the number of packs per year

Invalid Input

Accepting lungs from donors with PaO2/FiO2 <300 mmHg

Invalid Input

Accepting lungs from donors with PaO2/FiO2 <250 mmHg

Invalid Input

Do you use machine perfusion for donor lungs (Marginal donation from neurological determination of death, donation from circulatory determination of death or both)

Invalid Input

Comments

Invalid Input

Section 8. To be answered by pancreas transplant specialists and pancreas transplant surgeons

Are you a pancreas transplant specialist or pancreas transplant surgeon? (*)

Yes No

Required

8.1 Please answer the following question:

Is there islet isolation from deceased donor pancreata performed in your region/province/state?

Yes No I do not know Invalid Input

Comments

Invalid Input

Section 8-2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowledge level

Invalid Input

Accepting pancreas from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting pancreas donors aged 18-50 and with a body mass index >30

Invalid Input

Accepting pediatric pancreas donors for adult recipients

Invalid Input

Accepting pancreas from donors aged 50-60 years

Invalid Input

Accepting pancreas from donors with anoxia

Invalid Input

Accepting pancreas from donors with circulatory determination of death

Invalid Input

Accepting pancreas from donors with type 2 diabetes (non-insulin requiring)

Invalid Input

Comments

Invalid Input

Section 8-3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Accepting pancreas from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting pancreas from donors aged 18-50 and with a body mass index >30

Invalid Input

Accepting pediatric pancreas donors for adult recipients

Invalid Input

Accepting pancreas from donors aged 50-60 years

Invalid Input

Accepting pancreas from donors with anoxia

Invalid Input

Accepting pancreas from donors with circulatory determination of death

Invalid Input

Accepting pancreas from donors with type 2 diabetes (non-insulin requiring)

Invalid Input

Comments

Invalid Input

Section 8.4: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowlege level

Invalid Input

Accepting islets from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting pediatric islets donors for adult recipients

Invalid Input

Accepting islets from donors with anoxia

Invalid Input

Accepting islets from donors with circulatory determination of death

Invalid Input

Comments

Invalid Input

Section 8-4: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Accepting islets from donors recovering from COVID-19 (PCR negative)

Invalid Input

Accepting pediatric islets donors for adult recipients

Invalid Input

Accepting islets from donors with anoxia

Invalid Input

Accepting islets from donors with circulatory determination of death

Invalid Input

Comments

Invalid Input

Section 9: To be answered by critical care specialists

Are you a critical care specialist?
(additional questions will appear if yes is selected)(*)

Yes No

Required

9.1 Please answer the following question:

Is there a regulatory mechanism or framework for donation from neurological determination of death in your region/country/jurisdiction?

Yes No I do not know Invalid Input

Is there a regulatory mechanism for the consideration of donation after circulatory determination of death (controlled and uncontrolled) in your region/country/jurisdiction?

Yes No I do not know Invalid Input

Comments

Invalid Input

Section 9.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

1: Poor, 25: Fair, 50: Good, 75: Very Good, 100: Excellent

Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Example:

Knowledge: I am aware of the definition and the survival benefits of utilizing kidneys from expanded criteria donors.
Comfort level: I feel uncomfortable accepting kidneys from expanded criteria donors.

Current knowledge level

Main Topics

Desired knowledge level

Invalid Input

Identification and referral of possible organ donors

Invalid Input

Definition of neurological determination of death

Invalid Input

Clinical conditions that may lead to neurological determination of death

Invalid Input

Clinical exam for declaration of neurological determination of death

Invalid Input

Apnea testing for declaration of neurological determination of death

Invalid Input

Contraindications (confounders) for neurological determination of death

Invalid Input

Indication for ancillary testing in the declaration of neurological determination of death

Invalid Input

Evaluation of donor medical suitability

Invalid Input

Management of the deceased donor

Invalid Input

Donation after circulatory determination of death (controlled and uncontrolled)

Invalid Input

Absolute contraindications to solid organ donation

Invalid Input

Relative contraindications to solid organ donation

Invalid Input

Discussion of donation from neurological determination of death with families

Invalid Input

Comments

Invalid Input

Section 9-3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

1: Very uncomfortable, 25: uncomfortable, 50: neutral, 75: comfortable, 100: very comfortable

Current comfort level

Main Topics

Desired comfort level

Invalid Input

Identification and referral of possible organ donors

Invalid Input

Definition and declaration of neurological determination of death

Invalid Input

Clinical conditions that may lead to neurological determination of death

Invalid Input

Clinical exam for declaration of neurological determination of death

Invalid Input

Apnea testing for declaration of neurological determination of death

Invalid Input

Contraindications (confounders) for neurological determination of death

Invalid Input

Indication for ancillary testing in the neurological determination of death

Invalid Input

Evaluation of donor medical suitability

Invalid Input

Management of the deceased donor

Invalid Input

Donation after circulatory determination of death (controlled and uncontrolled)

Invalid Input

Absolute contraindications to solid organ donation

Invalid Input

Relative contraindications to solid organ donation

Invalid Input

Discussion of neurological determination of death with families (including organ donation)

Invalid Input

Comments

Invalid Input

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Contact

Staff Directory
+1-514-874-1717
info@tts.org

Address

The Transplantation Society
International Headquarters
740 Notre-Dame Ouest
Suite 1245
Montréal, QC, H3C 3X6
Canada

Member Login

Table of contents*:

1.1 SURVEY ABOUT HOSPITAL STRUCTURE

1.2 Survey about legislation and policies related to organ donation and transplantation

1.3 Survey about financial barriers

Section 2: To be answered by transplant physicians* and transplant surgeons (Including Program Directors)

2.1 Transplant Education

Section 2.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

Section 2-3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level

Section 3. To be answered by transplant nephrologists and kidney transplant surgeons

3.1 Please answer the following questions

Section 3.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

Section 3.3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level

Section 4. To be answered by transplant hepatologists and liver transplant surgeons

4.1 Please answer the following questions

Section 4.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

4.3 Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level

Section 5. To be answered by intestinal failure specialists and intestinal transplant surgeons

5.1 Please answer the following questions

Section 5.2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

Section 5-3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level

Section 6: To be answered by transplant cardiologists and cardiac transplant surgeons

Section 6.1: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

Section 6-2: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level

Section 7: To be answered by transplant respirologists and lung transplant surgeons

Section 7-1: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

Section 7-2 Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level

Section 8. To be answered by pancreas transplant specialists and pancreas transplant surgeons

8.1 Please answer the following question:

Section 8-2: Please note that there will be two similar sets of questions; the first one will be based on your knowledge and the second one on your comfort level.

Please rate your current knowledge level. For each topic contrasting with your desired knowledge level (one selection between lowest and highest using the slider 0 to 100).

Current knowledge level

Main Topics

Desired knowledge level

Section 8-3: Please rate your current comfort level for each topic contrasting with your desired comfort level (one selection between lowest and highest using the slider 0 to 100).

Current comfort level

Main Topics

Desired comfort level