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1. Name
   
 
 
2. Organization
   
 
 
3. Customer Type
 
Active
 
Former
 
 
4. If Former client - why did you stop using ProPractica?
   
 
 
5. Practice Type
 
Neurology
 
Pain Management
 
Family Practice
 
Oncology
 
Other
 
 
 
6. When you think of ProPractica Software, what words come to mind?
   
 
 
7. What would you say that ProPractica is best at?
   
 
 
8. (Please complete this sentence) ProPractica is the only company that...
   
 
 
9. Why did you choose ProPractica?
   
 
 
10. What's important to you when you consider EMR?
   
 
 
 
11. Are you happy with your choice?
 
Yes
 
No
 
Other
 
 
 
12. If you're not happy - or have some other comments about this...
   
 
 
13. What do you like about using the ProPractica System
   
 
 
14. What improvements would you suggest that would make it a better experience?
   
 
 
15. How likely would you be to referr ProPractica to other practices?
 
Not at all Likely
 
Neutral
 
Extremely Likely
 
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