Provider Satisfaction Survey Question Title * Name of Provider Question Title * Email Address Question Title * Telephone Question Title * Are phone calls attended to promptly and courteously? Yes No Question Title * Are you satisfied with the way your appointments are scheduled? Yes No Question Title * Are our locations and office hours convenient for your patients? Yes No Question Title * Is the requisition easy to follow? Yes No Question Title * Are reports received in a timely manner? Yes No Question Title * Are reports concise and accurate? Yes No Question Title * Would you recommend Clear to other referring providers? Yes No Question Title * How likely are you to continue to send your patients to Clear? Likely Possible Unsure Not Likely Question Title * How did you refer your patients to us? Requisition Pad EMR Fax Ocean eReferral Done
