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* 1. Please list who is completing this survey below:

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* 2. On a scale of 1-10 (1 = poor, 10 = excellent), how likely is it that you would recommend our company/product/services to a friend or colleague?

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* 3. What is the most important reason for your score in #2?

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* 4. What can we do to improve?

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* 5. Do you know someone who is looking for a new EHR system? If yes, recommend a friend and it could mean CASH in your wallet. List the person's name, email and phone number below.

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