ASDS Branding Campaign Referring Physicians Survey American Society for Dermatologic Surgery * Please rate the significance at your practice of the ways that new patients find you: Important Somewhat important Somewhat unimportant Unimportant Other referral websites Other referral websites Important Other referral websites Somewhat important Other referral websites Somewhat unimportant Other referral websites Unimportant Insurance network Insurance network Important Insurance network Somewhat important Insurance network Somewhat unimportant Insurance network Unimportant ASDS website referral ASDS website referral Important ASDS website referral Somewhat important ASDS website referral Somewhat unimportant ASDS website referral Unimportant Local / phonebook advertising Local / phonebook advertising Important Local / phonebook advertising Somewhat important Local / phonebook advertising Somewhat unimportant Local / phonebook advertising Unimportant Dermatologist referral Dermatologist referral Important Dermatologist referral Somewhat important Dermatologist referral Somewhat unimportant Dermatologist referral Unimportant Internet search Internet search Important Internet search Somewhat important Internet search Somewhat unimportant Internet search Unimportant Patient referral Patient referral Important Patient referral Somewhat important Patient referral Somewhat unimportant Patient referral Unimportant Physician referral Physician referral Important Physician referral Somewhat important Physician referral Somewhat unimportant Physician referral Unimportant Other ways new patients find you... * How do you currently promote your practice to referring physicians? (Choose all that apply.) Emails to referring physicians Direct mail postcards / fliers to referring physicians CME events with referring physicians LinkedIn / social media with referring physicians Networking activities with referring physicians Providing materials to educate referring physicians Providing patient education materials that referring physicians can distribute / display Other (please specify) * What would assist you in marketing your practice to referring physicians? (Choose all that apply.) Physician education videos Physician education exclusive content on asds.net Physician education direct mail postcards / fliers Physician education email copy / templates Physician education printed materials / newsletters Branded notepads and other materials for referring physician's office staff Display stands with patient education skin cancer trifolds for referring physician's office Display stands with patient education cosmetic treatment trifolds for referring physician's office Other (please specify) * On average, how many skin cancer referrals do you get each month? 0 1-3 4-7 8 or more * From which physicians do you receive referrals for skin cancer procedures? (Check all that apply.) OB/GYN Dermatologist Primary care / Family physician / Internal medicine Oncologist Pediatrician ENT Other (please specify) * Why do referring physicians choose to refer skin cancer patients to you over other providers? (Choose the top three.) Expertise / experience Reputation Insurance plans accepted Proximity to office Personal relationship Professional affiliations / associations Hospital affiliation ASDS membership Other (please specify) * On average, how many cosmetic referrals do you get each month? 0 1-3 4-7 8 or more * From which physicians do you receive referrals for cosmetic procedures? (Check all that apply.) OB/GYN Dermatologist Primary care / Family physician / Internal medicine Oncologist ENT Other (please specify) * Why do referring physicians choose to refer cosmetic patients to you over other providers? (Choose the top three.) Expertise / experience Reputation Insurance plans accepted Proximity to office Personal relationship Professional affiliations / associations Hospital affiliation ASDS membership Other (please specify) * To inform referring physicians about our specialty, which educational video delivery option do you believe is the best choice? Flash drive DVD Other (please specify) * In which of the following online physician-only communities do you participate? (Choose all that apply.) QuantiaMD Epocrates Ozmosis Sermo Doximity Medscape Other (please specify) * Any additional comments about referring physicians – relationships, materials or opportunities? Done
