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Survey

Survey

Physician Site Survey

Please let us know your feelings about the website and what we could do to make it better.

* Indicates required information

Please provide the following information to help us best serve you.

First Name
Last Name
Email
Organization
1. *
Please check which applies to you:

If Other, please specify:
2.
How much time have you spent on this physician website?
3.
How would you describe the website's usability?
4.
Do you have any suggestions for making the site easier to use?
5.
Which areas of the website do you think will be most useful to you?

If Other, please specify:
6.
What type of information would you like to see added to the physician website?
7.
What brought you to the physician services website?

If Other, please specify:
8.
How likely is it that you will visit the site again?
9.
Comments?
 
 
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2131 S. 17th Street, Wilmington, NC 28401  |  910.343.7000