Instructions: After entering your contact information, please answer the questions that follow. Please know that your answers and comments will have a positive effect on how we do business.

Name	Date	Email
Address (optional)	City (optional)	State (optional)	Zip (optional)
Phone #1 select home cell work office pager fax other	Phone #2 select home cell work office pager fax other

	Strongly Disagree	Disagree	Undecided	Agree	Strongly Agree	N/A
My consultant was knowledgeable about the requirements and responsibilities of my specific area of medicine.
My consultant maintained consistent & appropriate contact during the recruitment process.
My consultant worked effectively to identify my career goals & priorities, and did not merely try to sell me on a particular practice opportunity.
My consultant advised and prepared me in advance of my interview(s) with sufficient information to make the most of each interview.
I found 's Winning Interview Guidelines to be helpful in preparing me for my interview(s).
The level of professionalism my consultant showed throughout the recruitment, interview and negotiation process was of the highest measure.
I would feel comfortable sending my consultant future referrals, and would recommend without hesitation.
I feel that I was treated with dignity & respect through the recruitment process.
I was informed of, and introduced to, 's legal department and found the services to be beneficial.
Working with an attorney greatly enhanced my ability to negotiate with the hiring practice/hospital.

Which other search firms have you had experience with in the past?
How would you compare those experiences to your experience with ?
How could we improve our level/quality of service? What could we do differently?
Would you recommend to a colleague who was searching for a position? no yes
On a scale of 1 to 10 (with 10 being the highest), how would you rate 's overall service?
1	2	3	4	5	6	7	8	9	10

Please include any additional comments you would care to make.