Doctor Name
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Doctor Email
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Phone Number
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Name of your planner
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Please Select
Alina
Charles
Jason
Joe
Liz
Lillian
Mandi
Thomas
Was your planner on time for your online meeting?
Please Select
Yes
No
Do you believe your preferences were understood?
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Very Satisfied
Somewhat Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What were the issues?
How confident in the process are you?
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Very confident
Somewhat confident
Neutral
Somewhat unconfident
Very unconfident
What makes you feel less confident?
How satisfied were you with your planner's preparation for the online meeting?
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Very Satisfied
Somewhat Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What happened?
How satisfied were you with the level of knowledge displayed by the planner?
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Very Satisfied
Somewhat Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What happened?
How satisfied were you with the level and depth of the information provided DURING the meeting?
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Very Satisfied
Somewhat Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What happened?
How satisfied were you with the level and depth of the information provided AFTER the meeting?
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Please Select
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What happened?
How satisfied were you with the amount of time allocated to the online meeting?
*
Please Select
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat dissatisfied
Very dissatisfied
What happened?
What else would you like to share about your online planning meeting experience?
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