Clinician Feedback - Patient Scheduling
Your answers are vital to improving our online appointment request experience.
Did this patient's concerns fall within your speciality e.g., Neurology, Vascular Surgery?
Yes
No
Please select one
How well did the patient's needs match with your speciality and sub speciality?
Please select one
How did you determine the patient should have seen another clinician?
Select all that apply
Patient conversation
Chart info
Test results
Please select at least one
What, if any, sub-speciality(ies) would be a better match for this patient?
Please describe in less than 300 characters
Using plain language, how would you describe the patient's primary concern(s) or symptom(s)?
(Optional)
Please describe in less than 300 characters
Is there a question we should ask to improve our patient-clinician match?
(Optional)
Please describe in less than 300 characters
Submit