|
|
|
|
| |
| * Into which age range do you fall? |
| |
|
|
|
|
| |
| * Which of the following PhysicianOne Urgent Care locations have you visited? |
| |
|
|
|
|
|
| |
| * Which of the following outfits would give you the greatest confidence in the knowledge and skill of your doctor? |
| |
|
|
|
|
| |
| Why did you select the outfit you did as giving you the greatest confidence in your doctor's knowledge and skill? Please explain. | | |
|
|
|
|
| |
* We are now going to ask you several questions about your ideal urgent care reception area. Please do not take any brand names into account when answering these questions. Only rate them based in the amenities and appearance.
Please rank the urgent care waiting areas below from 1 to 4, with 1 being the one you like the most and 4 being the one you like the least. |
| |
 |
| |  |
| |  |
| |  |
| |
|
|
|
|
| |
| * Which of these reception areas do you prefer? |
| |
|
|
|
|
| |
| * Which of these reception areas do you prefer? |
| |
|
|
|
|
| |
| * Which of these reception areas do you prefer? |
| |
|
|
|
|
| |
* We are now going to ask you several questions about your ideal urgent care waiting room. Please do not take any brand names into account when answering these questions. Only rate them based in the amenities and appearance.
Please rank the urgent care waiting rooms below from 1 to 8, with 1 being the one you like the most and 8 being the one you like the least. |
| |
 |
| |  |
| |  |
| |  |
| |  |
| |  |
| |  |
| |  |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these waiting rooms do you prefer? |
| |
|
|
|
|
| |
* We are now going to ask you several questions about your ideal urgent care exam rooms. Please do not take any brand names into account when answering these questions. Only rate them based in the amenities and appearance.
Please rank the urgent care rooms below from 1 to 7 with 1 being the one you like the most and 7 being the one you like the least. |
| |
 |
| |  |
| |  |
| |  |
| |  |
| |  |
| |  |
| |
|
|
|
|
| |
| * Which of these exam rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these exam rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these exam rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these exam rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these exam rooms do you prefer? |
| |
|
|
|
|
| |
| * Which of these exam rooms do you prefer? |
| |
|
|
|
|
| |
| * Into which ethnic group do you classify yourself? |
| |
|
|
|
|
| |
| * In what range does your household income fall? |
| |
|
|
|
|
| |
| * What is your highest level of education completed? |
| |
|
|
|
|
| If you would like to enter for a chance to win a FitBit health tracker, please enter your contact information below. If you would prefer not to answer, simply click next to conclude the survey.
|
|
|
|
|
|
Loading...
