• Y.U. Pilot Clinician Program Survey

    Share your candid feedback on the pilot program. Please follow all instructions, answer KEY QUESTION items, and avoid entering PHI.
  • Instructions:
    This survey is for clinicians who participated in the Y.U. Pilot Program. Be blunt—tell us what worked, what broke, and what slowed you down. This is about fixing the process, not grading anyone. Please answer all KEY QUESTION items. Give real examples when possible. Keep patient details out. Clinical findings stay in the chart.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • ABOUT YOU

  • Your discipline*
  • How many pilot patients did you see?*
    Rows
  • GETTING SET UP

  • How ready did you feel walking into your first pilot patient?*
  • Before your first visit, did you know these things?*
    Rows
  • How many team training sessions did you attend?*
  • What training format would actually work for you? (Pick your top two.)*
  • THE TOOLS

  • Rate each tool on how well it helped you do your job. (1 = Got in my way. 5 = Made my job easier.)*
    Rows
  • When something broke (login, video, charting, forms), how long did it usually take to fix?*
  • How should Y.U. reach patients between visits? (Pick your top two.)*
  • YOUR PATIENTS COMING IN

  • Across your pilot patients, how many showed up ready in each of these ways?*
    Rows
  • Would you record a 30 to 60 second video introducing yourself and telling patients how to prepare for your visit?*
  • When video failed or a patient could not connect, how easy was it to reach them another way?*
  • THE VISIT ITSELF

  • Was the visit long enough to complete a proper assessment?*
  • In your honest opinion, how many of your patients left your visit feeling like this?*
    Rows
  • WORKING AS A TEAM

  • Did reading other clinicians' notes change how you ran your visit?*
  • Where should the cross-discipline summary live so you actually use it?*
  • Rate the handoff you got from each of the other disciplines. (1 = Not useful. 5 = Changed how I worked. Mark N/A for your own discipline.)*
    Rows
  • Did you see duplicate work, repeated questions, or advice that clashed with another discipline?*
  • THE SCORE AND THE FINAL PLAN

  • How well did the Y.U. Score and final plan reflect what you found?*
  • What will actually get patients to follow the plan? (Pick your top three.)*
  • YOUR IMPACT

  • Do you think you made a real impact on your pilot patients?*
  • How many of your patients will follow through on your recommendations?*
  • LEADERSHIP AND SUPPORT

  • Rate how the founding team and operations supported you. (1 = Not at all. 5 = Completely.)*
    Rows
  • What should leadership start, stop, and keep doing?
    Rows
  • THE BIG PICTURE

  • Should be Empty: