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Hello!

Over the last year or so, SteamlineMD has gone through tremendous growth. As more and more practices like yours have joined our community, we wanted to take stock in what we've done well and where we can stand to do some improving.

That is why we've hired a neutral third-party, Ivana Taylor from Third Force Marketing, to reach out to you and collect this feedback. I hope that you'll be open and honest in your feedback because that is the only way that we can make the improvements that will mean the most to you.
 
 
Contact Information
* First Name : 
* Last Name : 
Phone : 
Email Address : 
 
 
About Your Practice
 
 
Practice Type
 
Neurology
 
Pain Management
 
Family Practice
 
Oncology
 
Vein/Vascular
 
General Surgery
 
Dermatology
 
Cardiology
 
Other
 
 
 
How large is your practice?
 
< 5 Doctors
 
6 - 10 Doctors
 
11 - 15 Doctors
 
15 - 20 Doctors
 
> 20 Doctors
 
 
How long have you been a StreamlineMD customer?
 
Less than 6 months
 
6 months to less than 1 year
 
1 year to less than 3 years
 
3 years to less than 5 years
 
5 years or more
 
 
Your Relationship With StreamlineMD
 
 
How did you first hear about StreamlineMD
 
Referral from another doctor
 
Conference
 
Direct call from sales
 
Consultant
 
Other
 

 
 
What was the one thing that SteamlineMD said or did that convinced you that this was the right system for your practice?
   
 
To what degree to you agree or disagree with the following statements?
1
Strongly Disagree
2 3 4 5
Strongly Agree
My implementations went smoothly
The StreamlineMD support team is helpful
The support line gets picked up by the second ring
My experience has been better than what I've heard other practices experienced
 
 
Comments
   
 
 
If you gave any of these a rating of less than 3, what would you need to see to make it a 5
   
 
 
ImportanceSatisfaction
Not ImportantVery Important
Not SatisfiedVery Satisfied
12345N/A12345N/A
Personal support
Specialty specific Templates
Document exams and procedures in seconds
Intuitive and User Friendly
Easily Customized
Incremental Implementation
Reduce or eliminate dictation costs
 
 
What is the one thing StreamlineMD could do to improve your experience with them?
   
 
 
Referral Questions
 
 
How likely are you to continue using our products?
Very unlikely Somewhat unlikely Neutral Somewhat likely Very likely
 
 
Considering your complete experience, how likely would you be to recommend StreamlineMD to a friend or colleague?
«Very UnlikelyVery Likely»
012345678910
 
 
In Your Own Words
 
 
If you were to refer StreamlineMD to a colleague? What would you say?
   
 
 
Can you refer another doctors or practice, like yours that might benefit from StreamlineMD?
   
 
 
 
In what ways has your practice benefited from using StreamlineMD?
   
 
 
Do we have your permission to use your statements as a testimonial?
 
Yes
 
No
 
Maybe (contact me before you do)
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