Physician Work Setting Assessment
Please complete the following assessment regarding your work setting.
Physician Full Name
*
First Name
Last Name
Department or Specialty
*
Type of Work Setting
*
Option 1
Option 2
Option 3
Work Setting Satisfaction
*
1
1
2
3
4
Best
5
1 is , 5 is Best
Number of Years in Current Work Setting
*
Describe any challenges or improvements needed in your work setting.
*
Submit
Should be Empty: