The purpose of this questionnaire is to create a data set to help evaluate capacity for anaesthesia care at a national level, and to provide guidance for improving or maintaining standards for the safe practice of anaesthesia. Completion of this survey is voluntary and optional. This form is intended to be completed by an anaesthesia provider. Ideally, this provider should have first-hand knowledge of the facility that is being reviewed. Data collection must be done in accordance with local protocols and laws, and must not include any patient health information. Providing your personal contact information is optional and would only be used if clarification of your responses is needed.Data may be entered electronically using an online version of this survey form. Data are stored in a secure RedCap database, jointly maintained by the WFSA and the UCSF Anesthesia Division of Global Health Equity. If you enter data electronically, you will be provided a copy of your survey responses as a pdf and as a raw database file. More information on the electronic survey tool can be found at the WFSA website.This survey should take approximately 45 minutes. If you are unsure of the answer to any question or choose not to answer, please leave it blank. You may stop the survey at any time. GENERAL QUESTIONSDate of data collection (dd/mm/yy): Contact information of staff completing this assessment (Name, phone and email):Country (location of healthcare facility being surveyed):

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