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* 1. Name

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* 2. Name of department 

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* 3. Did you find the Physician Mentoring  Program valuable?

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* 4. What aspect of your mentor-ship was most valuable?

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* 5. What are your recommendations to improve the program?

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* 6. On a scale 1-10 (10 being most likely), how likely are you to recommend your mentor? 

 
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2
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10

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* 7. Would you recommend this program to other physicians? Why or why not?

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