Foundation County Survey
Our work begins with listening to physicians. These questions tell us a lot about the unmet community health needs in our state and the issues that impact our physician workforce. Your participation makes a difference in our ability to focus resources on our mission to improve health in Wisconsin. The following survey has 10 questions and should take less than 10 minutes to complete. Thank you!
Name
*
First Name
Last Name
Suffix
Email
*
Confirmation Email
A copy of your responses will be sent to this address.
Community and Patient Health
1. What are the most pressing health concerns in your community?
2. Which community organizations are making a difference to increase health access, health equity, and/or support disease prevention in your community? (NOTE: These organizations will be invited to apply for a Foundation Community Grant.)
3. Does your health system support culturally sensitive trauma-informed care for your patient interactions?
Yes
No
Unsure
Not applicable
Other
4. What support/tools do you need to provide trauma-informed care in your practice?
Workforce
5. What are the most pressing physician workforce concerns in your community?
6. What one thing could your employer do to improve your job satisfaction?
7. How does your organization promote a culture of collaboration and connection?
8. Are you considering and of the following?
Changing jobs
Going part-time
Changing professions
I am not considering any of the above
I've already done one of the above
Prefer not to answer
I am retired
Other
Organized Medicine
9. Are you a member of organized medicine in some form? (Choose al that apply)
Local County Medical Society
Specialty Society
Wisconsin Medical Society
AMA or other national membership
Other
10. Do you find that support from organized medicine assists you professionally and personally in dealing with the challenges (or stress) of the profession?
Follow up
I would like more information on the following ways to help improve health in Wisconsin: (select all that apply.)
Youth outreach to encourage careers in medicine
Community health volunteer opportunities
Free and charitable clinic volunteering or support
Mentoring medical students
Networking opportunities with physicians in my specialty
Networking opportunities with physicians in my community
Legislative advocacy and making sure the physician’s voice is heard
CME opportunities
Financial products and services specific to physicians in Wisconsin
Wisconsin Medical Society Foundation committee or board involvement
Wisconsin Medical Society membership
Having a professional or personal mentor or peer support
Other
Submit
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