Urgent Practice Data Survey

Demographics

Question Title

* 1. County

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* 2. Number of Physicians

1 (solo)

2-5

6-10

11-20

21-50

50+

Question Title

* 3. Number of APPs

1

2-5

6-10

11-20

21-50

50+

I do not have any APPs

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* 4. Specialty

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* 5. Please indicate your organization ownership or primary affiliation:

Independent Medical Group

Individual Hospital

Integrated Health System/Physician Network (Medical Practice with Managed Agreement)

Practice Management Company

Private Equity Group

Unknown