32/53 (60%) practitioners completed the questionnaire.  56% were residents and 41% were attendings. 67% screened for depression at 25% or less of clinic visits for PWE. Screening rates were similarly low in inpatient and outpatient settings and for visits for other neurologic conditions. The most common listed barrier to screening was time (63% of respondents listed it as top 3 barrier). Other reasons (with proportion of respondents listing in top 3) were lack of comfort with depression diagnosis (25%) and lack of comfort with anti-depressants (28%). 47% of respondents were not sure prescribing anti-depressants helped, and 53% of respondents were not sure referral to mental health coordinated services helped. Only 25% felt that prescribing anti-depressants led to moderate or large improvement.  Screening frequency did not differ by resident vs. attending status or by gender. However, 88% of respondents would screen if they had access to a brief, validated screening tool, and 81% would screen if they had access to a standardized treatment protocol.