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TeleSpecialists strives for complete customer satisfaction. Thank you for taking time out of your day to complete our brief survey.

1. Facility Name:

2. Physician Name:

3. Your job title:

Virtual Critical Care Nurse
Emergency Department Nurse or director
Emergency Department Physician
Rapid Response Team
Other

2. Please rate the timeliness of our response from the time called. (10 being extremely timely)

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3. Please rate the quality of your interaction with the TeleSpecialist physician. (10 being very favorable)

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4. Please rate your satisfaction with the completeness that all questions were answered by the Telespecialist physician. (10 being fully complete)

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5. Please rate your overall satisfaction with the encounter. (10 being extremely satisfied)

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6. Please provide any additional comments.