COVID-19 Business Impact and Testing Interest

Business Impact

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* 1. Full Name

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* 2. Practice

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* 3. Specialty

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* 4. City

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* 5. Email

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* 6. Since March 1st, what percentage would you estimate all patient visits or encounters have decreased in your practice?

Less than 20%

20-40%

41-60%

More than 60%

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* 7. With your current income, how long could you afford to keep your practice open?

Less than 3 months

4-8 Months

9-12 Months

Longer than 12 months

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* 8. Has your practice used telephone-only patient calls or a telemedicine app or service which includes patient video to offset any actual or potential decreases of in-person visits?

Yes, phone only

Yes, video app only

Yes, both phone and video app

Neither phone nor app with no plan to start

Neither phone nor app but considering these options

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* 9. Have you reduced staffing (positions or hours) in your practice since March 1st due to the COVID-19 crisis?

Yes

No