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Locum Tenens Surgeon Survey
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
*
3.
City
(Required.)
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4.
State
(Required.)
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5.
Email
(Required.)
*
6.
Please list your surgical specialty
(Required.)
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7.
Please tell us how you conduct your locum's work.
(Required.)
Freelance
Work with an agency
Other (please specify)
8.
What specific needs do you have as a locum tenens surgeon?
9.
What resources could the ACS develop to assist you as a locum tenens surgeon?
*
10.
Are you interested in serving on an ACS workgroup to develop resources for locum tenens surgeons?
(Required.)
Yes
No
Other (please specify)
