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AdvancedMD Telemedicine Questionnaire
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* Indicates required question
Office Key
*
Your answer
Your Email
*
Your answer
Your Role
Provider
Biller
Office Manager
Clinical Staff
Office Staff
Other:
Clear selection
Just 5 quick questions...
How much do you know about AdvancedMD's Telemedicine solution?
Nothing
1
2
3
4
5
Everything
Clear selection
How much interest do you have in using Telemedicine in the future?
Not interested
1
2
3
4
5
Very interested
Clear selection
Describe how you would use Telemedicine in your practice.
Your answer
What factors are preventing you from using telemedicine in your practice today?
Your answer
Would you be willing to talk with one of our product designers about your answers above?
Yes
No
Maybe
Clear selection
Submit
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