MEDICAL STAFF PRACTICE SURVEY

MEDICAL STAFF PRACTICE SURVEY

 
As Clifton Springs Hospital attempts to adapt to the changing local healthcare landscape we have entered into talks with Rochester General Hospital to explore a possible association.

We recognize that Medical Staff opinion is extremely important in our decision process for this issue and our general ongoing strategy.

Please take a moment to complete the attached survey.

If you have additional input that you would like to share about the potential Rochester General Hospital association or any other issue, please contact me directly




Please complete the following survey by OCTOBER 31, 2012

If you have any questions, please contact

Lewis Zulick, MD MMM
4 Coulter Road
Clifton Springs, NY 14432
315-462-2636
Mobile: 585-314-8655
Lewis.Zulick@cshosp.com


Thank you for your participation
1. Name of Provider: (optional)

Name of Practice:(optional)

Contact Phone Number:( optional)
*
2. What is your type of practice?
*
3. Care of my patients in the hospital setting is a key factor in my practice
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
4. Comments: