VBA Client Survey
RequiredRequired Question(s)
Thank you for being a client or colleague of VBA. So that we may better serve you, kindly take a moment to complete this anonymous survey.
 
Required 1.
What best describes your role in the hospital?
Owner/Co-Owner
Hospital Manager/Administrator
Technician
Receptionist
Associate Doctor
Other  
  • Comment:

  • 500 characters left.
Required 2.
What services have you retained us for?
Employment Agreement
Practice Purchase or Sale
Human Resources (ie. employee manual, employee relations)
State Board Action/License Defense
Partnerships (Forming, Discolving, Ongoing Issue)
Multiple Issues (In house counsel)
Newsletter Recepient
Other  
  • Comment:

  • 500 characters left.
Required 3.
How would you rate your overall level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
  • Comment:

  • 500 characters left.
Required 4.
How do we rate on the following attributes?
 Well Below Average Below Average Average Above Average Well Above Average 
Client service experience
Prompt response time
Professionalism
Quality of service
Understanding of clients' needs
  • Comment:

  • 500 characters left.
Required 5.
How do we rate in comparison to other consultants that offer the similar services?
Much higher
Somewhat higher
Same
Somewhat lower
Much lower
Don't know
  • Comment:

  • 500 characters left.
Required 6.
How likely are you to continue using our services?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
  • Comment:

  • 500 characters left.
Required 7.
Have you ever recommended us to others?
Yes, recommended multiple times
Have recommended once or twice
No, never recommended
  • Comment:

  • 500 characters left.
8.
Do you have any suggestions for ways to better serve our clients?
 

1000 characters left.
Required 9.
How long have you been a client of VBA?
Not a client
Less than 1 year
1 year to less than 3 years
3 years to less than 5 years
5 years or more
  • Comment:

  • 500 characters left.