1. How confident are you overall in performing a cleft lip/palate repair?
1	2	3	4	5
Not at all		Confident		Very confident, level of attending surgeon
2. What is your surgical skill level performing a cleft lip/palate repair?
1	2	3	4	5
I feel like I have none whatsoever		Average, as required of a resident my level		Well above average, rarely encountered in a resident of my level
3. Do you worry about performing a cleft lip/palate repair?
1	2	3	4	5
Constantly worry that something is going to go wrong, or I will not operate at the required level		Occasionally worry		I feel completely calm and do not worry at all
4. Would you get anxious about performing a cleft lip/palate repair?
1	2	3	4	5
Constantly anxious		Occasionally anxious		Not anxious at all
5. Based on your current performance, would you prefer to avoid doing cleft lip/palate repairs altogether?
1	2	3	4	5
Certainly		Occasionally		No, I would do it anytime
6. How comfortable are you independently planning and marking a cleft lip/palate repair?
1	2	3	4	5
Very uncomfortable		Average		Very comfortable, level of attending surgeon
7. How comfortable are you independently executing (incise, dissect, suture) a cleft lip/palate repair?
1	2	3	4	5
Very uncomfortable		Average		Very comfortable, level of attending surgeon
8. Based on your training to date, how comfortable are you independently performing a cleft lip/palate repair?
1	2	3	4	5
Very uncomfortable		Average		Very comfortable, level of attending surgeon