Exit this survey BOMED New Licensee Customer Satisfaction Evaluation Form Name: ____________________________ (Optional) * Physician Licensure Approval Process – Refers to questions 4, 5and 6.Phase 1: Application submission and receipt of supporting documents; Phase 2: Health licensing specialist analysis; Phase3: Board approval. Question Title * 1. The application and instructions were clear and easy to understand. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 2. The information requested on the application was done in a logical manner. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 3. The checklist was a beneficial tool in assisting me through the application process. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 4. *During Phase 1, my questions/concerns were addressed to my satisfaction. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 5. *During Phase 2, my questions/concerns were addressed to my satisfaction. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 6. *What would you consider a reasonable time frame for approving of your license once all your supporting documentation is received? (Phase 2) Poor / Greater than 8 Weeks Fair / 8 Weeks Good / 6 Weeks Very Good / 4 Weeks Excellent / 2 Weeks N/A Please rate the question using the scale Please rate the question using the scale Poor / Greater than 8 Weeks Please rate the question using the scale Fair / 8 Weeks Please rate the question using the scale Good / 6 Weeks Please rate the question using the scale Very Good / 4 Weeks Please rate the question using the scale Excellent / 2 Weeks Please rate the question using the scale N/A Question Title * 7. If an online universal application were available I would use it. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 8. How would you describe the timeliness of the current licensure process? Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 9. If you have a license to practice medicine in another state, how did the DC licensure process compare with your previous experience? Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 10. I would rate my overall experience with the DC licensing process as. Poor Fair Good Very Good Excellent N/A Please rate the question using the scale Please rate the question using the scale Poor Please rate the question using the scale Fair Please rate the question using the scale Good Please rate the question using the scale Very Good Please rate the question using the scale Excellent Please rate the question using the scale N/A Question Title * 11. If you have additional comments or suggestions for improving this program, please enter them below: Done