Physician Feedback Survey

1. What type of Health Professional are you?

What type of Health Professional are you? Dentist

Physician

Podiatrist

Chiropractor

Nurse Practitioner

Other

Other (please specify speciality)

2. What was the primary reason for your visit to DocMatcher.com?

What was the primary reason for your visit to DocMatcher.com? I am looking to increase patient volume

To enroll in on-line appointment booking

To review my profile

Recommended to me

Looking for a specific profile

Other (please specify)

3. Did you find the information that you needed?

Did you find the information that you needed? Yes, Exactly

Somewhat

Unsure

Not Really

Not at all

If you did not find the information you needed, please tell us what information would have been helpful.

4. Overall, how do you rate the quality of the services we provide?

Overall, how do you rate the quality of the services we provide? Excellent

Good

Adequate

Poor

Unacceptable

Please Comment

5. Please tell us which of our main services you find most useful.

	Very Useful	Somewhat Useful	Not Useful At All
Personalized Profile	*Please tell us which of our main services you find most useful. Personalized Profile Very Useful	Personalized Profile Somewhat Useful	Personalized Profile Not Useful At All
Attracting New Business	Attracting New Business Very Useful	Attracting New Business Somewhat Useful	Attracting New Business Not Useful At All
Appointment Scheduling	Appointment Scheduling Very Useful	Appointment Scheduling Somewhat Useful	Appointment Scheduling Not Useful At All
Messaging	Messaging Very Useful	Messaging Somewhat Useful	Messaging Not Useful At All
Personal Health Records	Personal Health Records Very Useful	Personal Health Records Somewhat Useful	Personal Health Records Not Useful At All
User Tutorials	User Tutorials Very Useful	User Tutorials Somewhat Useful	User Tutorials Not Useful At All

Which other services would you like offered?

6. What is the likelihood that you would use DocMatcher.com's services in the future?


Very Likely	*What is the likelihood that you would use DocMatcher.com's services in the future? Very Likely	Very Likely	Very Likely	Very Likely
Likely	Likely	Likely	Likely	Likely
Unsure	Unsure	Unsure	Unsure	Unsure
Unlikely	Unlikely	Unlikely	Unlikely	Unlikely
Very Unlikely	Very Unlikely	Very Unlikely	Very Unlikely	Very Unlikely

Why or Why Not?

7. Do you believe that our pricing appropriately reflects the value of the services you recieve?

Do you believe that our pricing appropriately reflects the value of the services you recieve? Yes

Somewhat

No

Unsure

I don't know the pricing

Why or Why Not?

8. Please tell us about yourself. Please provide Speciality and City at minimum. All other information is optional.

Please tell us about yourself. Please provide Speciality and City at minimum. All other information is optional. Name:
Speciality:
Address:
Address 2:
City/Town:
State:
ZIP:
Country:
Email Address:
Phone Number:

9. Will you please provide suggestions or comments on how we can better serve your needs? We welcome suggestions on specific areas for improvements, features you would like to see added to the site, and examples of other companies and websites that you consider excellent.

Will you please provide suggestions or comments on how we can better serve your needs? We welcome suggestions on specific areas for improvements, features you would like to see added to the site, and examples of other companies and websites that you consider excellent.

10. What would be the best way for us to communicate with you? Select any or all that apply.

What would be the best way for us to communicate with you? Select any or all that apply. Email

Phone

Mail

In Person

Office Manager

Do Not Communicate Further

Other (please specify)

Physician Feedback
Exit this survey

1. Thank you for your feedback!

1. What type of Health Professional are you?

2. What was the primary reason for your visit to DocMatcher.com?

3. Did you find the information that you needed?

4. Overall, how do you rate the quality of the services we provide?

5. Please tell us which of our main services you find most useful.

6. What is the likelihood that you would use DocMatcher.com's services in the future?

7. Do you believe that our pricing appropriately reflects the value of the services you recieve?

8. Please tell us about yourself. Please provide Speciality and City at minimum. All other information is optional.

9. Will you please provide suggestions or comments on how we can better serve your needs? We welcome suggestions on specific areas for improvements, features you would like to see added to the site, and examples of other companies and websites that you consider excellent.

10. What would be the best way for us to communicate with you? Select any or all that apply.

Physician FeedbackExit this survey

1. Thank you for your feedback!

1. What type of Health Professional are you?

2. What was the primary reason for your visit to DocMatcher.com?

3. Did you find the information that you needed?

4. Overall, how do you rate the quality of the services we provide?

5. Please tell us which of our main services you find most useful.

6. What is the likelihood that you would use DocMatcher.com's services in the future?

7. Do you believe that our pricing appropriately reflects the value of the services you recieve?

8. Please tell us about yourself. Please provide Speciality and City at minimum. All other information is optional.

9. Will you please provide suggestions or comments on how we can better serve your needs? We welcome suggestions on specific areas for improvements, features you would like to see added to the site, and examples of other companies and websites that you consider excellent.

10. What would be the best way for us to communicate with you? Select any or all that apply.

Physician Feedback
Exit this survey