Patient Satisfaction Surveys Should Not Be Used for Pay, Promotion or Employment Termination

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We believe patient satisfaction survey scores are biased against women and minority physicians. If this is true, then is wrong and illegal to pay and promote physicians based on patient satisfaction survey scores. PATIENT SATISFACTION SURVEY SCORES SHOULD NO LONGER BE USED IN PHYSICIAN PERFORMANCE EVALUATION, PAY, PROMOTION OR EMPLOYMENT TERMINATION.

First Name *

Last Name *

Credentials e.g. MD or DO *

What specialty do you practice?

What is your practice model?

Do patient satisfaction scores factor in your performance review or pay?

Yes

Not sure

Clear selection

Would you be willing to serve as a plaintiff in a future lawsuit? *

Yes

Not sure

Would you consider contributing to financially support for a future lawsuit? *

Yes

Not sure

Gender

Female

Male

Prefer not to say

Other:

Clear selection

Do you belong to another minority group? (race, religion, color, or national origin; people over 40; and people with physical or mental handicaps)

Yes

Prefer not to say

Other:

Clear selection

Want to be involved? Provide your email so we can mobilize our ranks of fellow physicians in this effort in the future. WE WILL NOT SELL OR SHARE AND YOU CAN ALWAYS OPT-OUT.

Let us know if you have other comments or suggestions.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms