Market Research - Pediatrician Survey

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* 1. Which option most clearly depicts your age range?

18-23

24-36

36+

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* 2. Do you have health insurance coverage or a health savings account?

Yes

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* 3. Is there a potential for you to become pregnant or adopt in the next few years?

Yes

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* 4. When do you think is the best time to look for a pediatrician?

Before becoming pregnant

When I learn that I'm pregnant

Between 24-36 weeks of pregnancy

Before leaving the hospital after delivering

Other (please specify)

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* 5. How would you look for a pediatrician? Check all that apply.

Word of mouth

Social media

Google-type search (i.e. WebMD, Health Grades, etc.)

Physician website

Insurance provider directory

Traditional telephone directory

Other (please specify)

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* 6. Prioritize the following factors in selecting a pediatrician? Select all that apply.

	Extremely important	Somewhat Important	Neutral	Not very important	Not important at all
Proximity to work/home	Proximity to work/home Extremely important	Proximity to work/home Somewhat Important	Proximity to work/home Neutral	Proximity to work/home Not very important	Proximity to work/home Not important at all
Participating provider in insurance coverage	Participating provider in insurance coverage Extremely important	Participating provider in insurance coverage Somewhat Important	Participating provider in insurance coverage Neutral	Participating provider in insurance coverage Not very important	Participating provider in insurance coverage Not important at all
Access to practice before childbirth	Access to practice before childbirth Extremely important	Access to practice before childbirth Somewhat Important	Access to practice before childbirth Neutral	Access to practice before childbirth Not very important	Access to practice before childbirth Not important at all
Group educational or support meetings	Group educational or support meetings Extremely important	Group educational or support meetings Somewhat Important	Group educational or support meetings Neutral	Group educational or support meetings Not very important	Group educational or support meetings Not important at all
Affiliation with hospital(s)	Affiliation with hospital(s) Extremely important	Affiliation with hospital(s) Somewhat Important	Affiliation with hospital(s) Neutral	Affiliation with hospital(s) Not very important	Affiliation with hospital(s) Not important at all
Pediatrician has/had children of their own	Pediatrician has/had children of their own Extremely important	Pediatrician has/had children of their own Somewhat Important	Pediatrician has/had children of their own Neutral	Pediatrician has/had children of their own Not very important	Pediatrician has/had children of their own Not important at all
Wait times	Wait times Extremely important	Wait times Somewhat Important	Wait times Neutral	Wait times Not very important	Wait times Not important at all
Same-day appointment availability	Same-day appointment availability Extremely important	Same-day appointment availability Somewhat Important	Same-day appointment availability Neutral	Same-day appointment availability Not very important	Same-day appointment availability Not important at all

Other (please specify)

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* 7. When visiting a pediatrician's website, what are the top three items of information you are looking for (outside of general information such as contact, location, hours, etc.)

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* 8. What other information would you like to know about your pediatrician before selecting? (Check all that apply.)

Their family structure (spouse, children, etc.)

What are their hobbies

Their faith or religion

The age of your pediatrician

Their position on vaccinations

Their position on breastfeeding

Their position on circumcision

Other (please specify)

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* 9. How are ways you are comfortable interacting with a pediatrician? (Check all that apply.)

Face-to-face

Facetime or Skype (TeleMed)

Through a nurse practitioner

Text

Other (please specify)

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* 10. Are there any other factors or ideas you would like to share that were not addressed in this survey?

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* 11. Etowah Pediatrics would like to offer you the chance to win a state-of-the-art baby monitor for your participation! If you would like to enter to win, please complete the following:

Name

Phone Number

Email Address