CHM Physician Link Line Satisfaction Survey
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1. CHM Physician Link Line Satisfaction Survey
1
. Please enter your name (Last Name, First Name).
Please enter your name (Last Name, First Name).
2
. Please enter your hospital or practice name.
Please enter your hospital or practice name.
3
. I called the Physician Link Line to
I called the Physician Link Line to
Admit/Transfer a patient
Consult a CHM Specialist
Check a patient status
Schedule a patient appointment
Other
4
. The Physician Link Line Advisor was courteous and helpful in processing my request.
The Physician Link Line Advisor was courteous and helpful in processing my request.
Yes
No
If no, please specify
5
. I was satisfied with the amount of time it took to process my request.
I was satisfied with the amount of time it took to process my request.
Yes
No
If no, please specify
6
. Overall my experience with Physician Link Line was
Overall my experience with Physician Link Line was
Excellent
Good
Neutral
Fair
Poor
7
. If you would like future communications about your patients, please let us know how you would like to be contacted.
If you would like future communications about your patients, please let us know how you would like to be contacted.
Email
Phone
Fax
8
. Comments:
Comments:
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