WinOMS Survey

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* 1. Practice Name

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* 2. Name

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* 3. When answering a phone call and opening up a patient's workspace, regardless of who is on the phone,
what are the top 3 pieces of information that you look for in the workspace?

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* 4. How frequent do you find yourself fielding an incoming phone call because your coworkers are all occupied?

Never

Seldom

Sometimes

Often

Always

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* 5. When taking a phone call, how do you take notes during the call?

Memory only

Paper and pen

WinOMS

Other computer software or method (please specify)

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* 6. When answering a phone call, how often is your practice contacted by the following...

	Never	Seldom	Sometimes	Often	Always
Insurance Company	Insurance Company Never	Insurance Company Seldom	Insurance Company Sometimes	Insurance Company Often	Insurance Company Always
Patient	Patient Never	Patient Seldom	Patient Sometimes	Patient Often	Patient Always
Family Member or Responsible Party (for a patient)	Family Member or Responsible Party (for a patient) Never	Family Member or Responsible Party (for a patient) Seldom	Family Member or Responsible Party (for a patient) Sometimes	Family Member or Responsible Party (for a patient) Often	Family Member or Responsible Party (for a patient) Always
Another Oral Healthcare Practice	Another Oral Healthcare Practice Never	Another Oral Healthcare Practice Seldom	Another Oral Healthcare Practice Sometimes	Another Oral Healthcare Practice Often	Another Oral Healthcare Practice Always

Other (please specify)

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* 7. Is there anything more disruptive than phone calls that keep you from performing your tasks?

No

Yes (please specify)