Practitioner Profiling Survey for Consumers
1. Choose a catergory that best describes your interest in the practitioner profile information.
Doctor Referral
Need to find a doctor
Verification of License Information (Education,Specialties, etc)
Research - College or Contractual
Checking for Updated Information
Checking for Disciplinary Information
Other:
2. What is the profession of the healthcare practitioner(s) you are looking up?
Medical Physician
Osteopathic Physician
Chiropractic Physician
Podiatric Physician
Advanced Registered Nurse Practitioner
Other:
3. Did the information in the practitioner profile meet your needs?
Yes
No
4. Was the Profiling Search System easy to use?
Yes
No
5. What resource did you use to access our website and the profiling system?
Personal desktop or laptop computer
Personal Smart phone (i.e., iPhone, Droid)
Work computer
Public library computer
University computer
Internet café, cybercafé or internet kiosk
Not Applicable
other:
For the following statement, please select the word(s) that most closely indicate(s) your level of agreement or disagreement with the statement.
6. Overall, I'm satisfied with the online Practitioner Profile.
Strongly Agree
Agree
Disagree
Strongly Disagree
7. How can we improve the Practitioner Profile and/or our web site?
Optional Information:
8. What is your age group?
Less than 30
30 - 45
46 - 60
61 and above
9. What is your gender?
Male
Female
10. What is your ethnic background?
American Indian or Alaska Native ALONE
Asian ALONE
African American ALONE
Hispanic
Native Hawaiian or Other Pacific Islander ALONE
White ALONE
Other race ALONE
More than one race
11. Are you a Florida resident?
Part-time resident
Full-time resident
Visitor
Student
No
