Quarterly Physician Survey

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33% of survey complete.

In the following three pages you will be asked to answer a series of questions involving the physician assigned. Please answer all questions truthfully, whilst taking time to ensure the best answer is given. Thank you!

Who is the physician you are conducting this survey based on?

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* 1. Who is the physician you are conducting this survey based on?

Physician arrives to office in a timely manner per his or her patient schedule.

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* 2. Physician arrives to office in a timely manner per his or her patient schedule.

Physician is flexible with his or her schedule.

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* 3. Physician is flexible with his or her schedule.

Comments?

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* 4. Comments?

Physician spends appropriate amount of time with patient.

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* 5. Physician spends appropriate amount of time with patient.

Comments?

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* 6. Comments?

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