LCMS Foundation Physician Wellness Program Participant Survey
Your feedback is anonymous and will help the LCMS Foundation evaluate and improve the Physician Wellness Program. Responses are reviewed by the LCMS Foundation and reported only in aggregate. Please do not include identifying information in your comments.
Are you an active Lane County Medical Society member?
Yes
No
Not sure
Which service did you use?
Counseling
Coaching
Who was your counseling/coaching provider?
Was this your first time using this Physician Wellness Program?
Yes
No
How quickly did you need an appointment?
Next available
Within 1-2 days
As soon as possible
Did you need an appointment outside of regular business hours?
Yes
No
Not applicable
Were you able to schedule outside of regular business hours?
Yes
No
How helpful was your session?
Very helpful
Somewhat helpful
Slightly helpful
Not helpful at all
As a result of this session, I feel better equipped to manage the issue or concern that brought me to the program.
Strongly agree
Agree
Neither agree or disagree
Disagree
Strongly disagree
Would you recommend the Physician Wellness Program to a physician colleague?
Yes
No (provide feedback in comments section below)
Unsure
Without the Physician Wellness Program, how likely is it that you would have sought this support elsewhere?
Very likely
Somewhat likely
Unlikely
Very unlikely
Unsure
Is there anything you'd like us to know about your experience or anything we could improve?
Optional
May we share your anonymous comments in Foundation communications, grant reports, or marketing materials?
Yes
No
Basic Demographics (reported in aggregate only):
Age 25-44
Age 45-64
Age 65+
Prefer not to answer
Primary practice/system affiliation (optional; reported only in aggregate):
PeaceHealth
McKenzie-Willamette
Optum/Oregon Medical Group
Private Practice/DPC
Other
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