Team Member Questionnaire

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Practice Name*
First Last
Name*
First Last
Email*
Years of Service*
Position*
Personality Type (DISC)

If you have taken a personality profile test in the past please complete this question
What are (3) things that you absolutely love about your practice?*
What are (3) things that frustrate you the most about your practice?*
As stated before, without honesty there is no opportunity for change!
If you owned the practice what would be the most important change that you would make in order to create job satisfaction for your team?*
As stated before, without honesty there is no opportunity for change!
I feel the practice should focus more on.....*
I feel the practice should focus less on....*
If you feel that there are some team members that might not be on board with your doctor's vision for the practice, please express your concerns here WITHOUT providing names. I would never want you to feel that you’re ratting your team members out by simply giving you a private platform to express your opinions.*
What would prevent you from being with this practice long-term?*
Do you feel you are in the right position in this practice? If no, where would you feel you were best suited?
How do you learn and retain information best?*
What areas of the office do you feel you would like to have more training on?*
Please name a few of your favorite things (i.e candy, food, treats, sweets, snacks and drinks!)*

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