Million Dollar PPO - Team Questionnaire

Dear Team Member,

You’ve probably heard the adage “the whole is greater than the sum of its parts.”  We know your part in your practice is integral to its success. We find that when team members work well together the accomplishments are impressive! These team members enjoy a high level of job satisfaction and the workplace is enjoyable – for everyone. In order to help us ensure that your team is working to its full potential, please complete this Team Questionnaire. It’s the first step in getting to know you and what you like about your work, about the team you are working with, about the Doctor, and about the patients in your practice. Keep in mind there are no right or wrong answers, and be assured your answers will remain confidential. Be candid. We are looking forward to a successful future with you.
Practice Information





List three things that you like best about your work.




List three things that you like least about your work.




On a scale of 1 to 10 (with “10” being the very best) how would you rate the following elements in the practice:
1 2 3 4 5 6 7 8 9 10

In your opinion, what are the three things your practice does well in meeting patients needs?




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