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Productive time spent working on the tasks assigned to me.
 
Almost all of the time
 
Most of the time
 
Half of the time
 
1/4th of the time
 
less than 1/4th of the time
 
 
 
Overall productivity in getting all of my job done.


 
Excellent
 
Good
 
Average
 
Below average
 
Poor
 
N/A
 
 
 
Going beyond what is expected of me to make patients happy



 
Yes, I always do so
 
Yes, occasionally
 
I work as much as is expected of me
 
I work less than what is expected of me
 
 
 
I respond quickly and courteously to fulfill patients needs



 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
I feel I am courteous and respectful to my superiors and respond to any requests made of me in a timely manner
 
Yes, I always do
 
Yes, I do so most of the time
 
Yes, I occasionally do
 
No, I do not
 
 
 
The overall quality of service that I provide is:



 
Excellent
 
Good
 
Average
 
Below average
 
Poor
 
N/A
 
 
 
What is it that helps you to be productive and provide quality service to our patients?
   
 
 
 
What would help you to be more productive and provide higher quality service?
   
 
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