Question Title * 1. Please list who is completing this survey below: Name * Practice Title/Position Email Address Phone Number * Question Title * 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? 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 Question Title * 3. What is the most important reason for your score in #2? Question Title * 4. What can we do to improve? Question Title * 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. Done