Joy of Medicine Feedback Form

Joy of Medicine is here to support you. If you would like to provide us feedback about the program, good or bad, please fill out this anonymous form and help us continue to improve the program for local physicians.

Question Title

* 1. Which program(s) are you providing feedback for?

Counseling Sessions

Physician Peer Groups

Physician Socials

Joy of Medicine Summit

Balint Groups

Other (please specify)

Question Title

* 2. Please tell us about your experience. Please include details such as the Counseling Sessions provider names, peer group leaders, presenters, or events so we may address any issues within the program.

Question Title

* 3. We would love to hear your positive experiences to encourage other physicians to take advantage of the program. You are welcome to share an anonymous testimonial to be used for marketing purposes.

Joy of Medicine Feedback Form

Question Title

* 1. Which program(s) are you providing feedback for?

Question Title

* 2. Please tell us about your experience. Please include details such as the Counseling Sessions provider names, peer group leaders, presenters, or events so we may address any issues within the program.

Question Title

* 3. We would love to hear your positive experiences to encourage other physicians to take advantage of the program. You are welcome to share an anonymous testimonial to be used for marketing purposes.

Question Title

* 4. Is there anything else you would like to share with us?