2013 FOS Member Needs Assessment Survey

Introduction and Demographics

The FOS Leadership is conducting a survey of our Member's Needs and an analysis on how successful our organization is in meeting those needs and defining our value. Please take a few minutes to complete the attached survey. Your comments will be strictly confidential.

Question Title

* 1. Are you currently a member of the Florida Orthopaedic Society?

Yes

Unsure

Question Title

* 2. How long have you been a member of the FOS?

N/A - Not a member

1 to 3 years

4 to 6 years

7 to 10 years

More than 10 years

Question Title

* 3. Please indicate your current age?

Under 40

40 to 49 Years of Age

50 to 59 Years of Age

60 Plus Years of Age

Question Title

* 4. How large is your current practice?

Solo-Practice

2 to 5 Surgeons

6 to 9 Surgeons

10 to 15 Surgeons

16 to 20 Surgeons

Over 20 Surgeons

Question Title

* 5. How would your classify your current practice setting?

Private Practice

Academic Practice

Hospital or Health System Owned Practice

Other

Other (please specify)

Question Title

* 6. Are you considering a change to your current practice setting in the next 12 months?

Yes

Unsure

Question Title

* 7. If you do anticipate a change in your practice, please elaborate below?

N/A - No Change

Joining a Smaller Private Practice Group

Joining a Larger Private Practice Group

Joining an umbrella group of other private practices

Joining or becoming a Hospital Owned or Health System Owned Group

Joining an Academic Center

Retiring

Other (please specify)