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What is your medical specialty?
 
Family practice
 
Internal medicine
 
Obstetrics/gynecology
 
Pediatrics
 
Psychiatry
 
Other
 
 
 
 
How many years have you been practicing in your current location (post-residency)?
 
1-2
 
2-3
 
3-4
 
5-9
 
Other
 
 
 
 
How many years did you stay in the original NHSC recruitment site?
 
1-2
 
2-3
 
3-4
 
5-9
 
Other
 
 
 
Is your practice
 
Hospital based
 
An individual practice
 
A small group practice (5 or fewer physicians)
 
A large group practice (6 or more physicians)
 
Other
 
 
 
What was the primary motivator for you to serve in the NHSC?
Strongly agree Somewhat agree Neutral Somewhat disagree Strongly disagree No opinion
Finacial incentives (i.e. scholar committment or loan repayment)
Committment to work in underserved community
Location of practice
 
 
 
Please state your gender.
 
Male
 
Female
 
 
How do/did you feel about the amount of work you are/were expected to do in your NHSC site?
 
Too much
 
Acceptable
 
Too little
 
Other
 
Other
 
 
 
Considering everything, how satisfied are you with your participation in the NHSC?
 
Very Dissatisfied
 
Somewhat Dissatisfied
 
Neutral
 
Somewhat Satisfied
 
Very Satisfied
 
Not Sure
 
Other
 
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