Physician Advocacy Survey
Thank you for taking the time to fill out this brief survey about your activities, challenges, and interest in advocacy.
Full Name (optional; you may opt to stay anonymous)
Your answer
Title (MD, DO, MBBS, etc) *
Your answer
Affiliation (hospital, clinic, organization - also optional)
Your answer
Which medical specialty do you primarily practice? *
Practice Type *
In which ways do you currently participate in patient advocacy, if any? (check all that apply) *
Required
Which barriers do you face with regard to advocacy? (check all that apply) *
Required
Which of the following would be useful if you have the interest/intention of integrating advocacy into your profession? (check all that apply) *
Required
Any questions, ideas, comments, stories with regard to physician advocacy in Rhode Island (optional)
Your answer
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