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Physicians Organization Survey


Physicians Organization Survey:

Please help us determine how to most effectively communicate additions to our services by taking our simple survey below.

1. How did you select your current primary care physician?
Referred by a friend or relative
Referred by another physician
Insurance provider list
Internet search
Newspaper or magazine ad
Direct mail to your home
Telephone book
Emergency room visit
Acquaintance of the physician
Other

2. What would you say is your main reason for selecting one physician over another? (You may select two)
Physician’s training
Physician’s reputation
Physician’s bedside manner
Medical Group reputation
Recommendation from a friend or relative
Location close to home
Ease of getting an appointment
Hospital affiliation
Other

3. From the list below, which two or three methods of promoting a new physician’s services would you find most meaningful?
Print advertising (newspaper and magazines)
Direct mail
Internet
Community lectures
Participation in community events
Word of mouth
Office signage
Other

OPTIONAL:
Comments:

First name:
Last Name:
Phone:
Email address:


For security purposes, please complete the sequence of numbers or letters below before submitting your message:

    Thank you for your participation. We greatly appreciate your input.

     


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