Outpatient Survey
17%
Questions marked with an * are required Exit Survey
 
 
Thank you for participating in Practice Greenhealth's Waste And Recycling Practices Survey. If you complete the survey, you can choose to be placed in the raffle and may win a $10 Starbucks gift card!

We are trying to increase the number of responses from outpatient facilities--surgery centers, doctors offices, any facility that is not a hospital. If you forward the survey link to an outpatient facility, let us know how many at the end of the survey, and you will be entered into a special raffle for a $20 Starbucks gift card.

This survey should take only a few minutes to complete. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Feel free to skip any question if you don't know the answer.

If you have any questions, contact Lara Sutherland at 866-598-2210 or [email protected]
 
 
 
* Are you responding regarding an outpatient facility?
 
Yes
 
No. If no, please complete the survey but also send the survey link to someone who can answer regarding an outpatient facility. Provide the number of outpatient facilities or names you forwarded this survey to at the end of the survey, and you will be entered into a special raffle for a $20 Starbucks gift card.
 
 
 
* Type of facility. (check all that apply)
 
Acute Care Hospital
 
Long Term Care Facility
 
Doctor's office
 
Ambulatory Surgery Center
 
Outpatient Department of a Hospital
 
Community Health Center
 
Other
 

 
 
 
Are you in a multi-tenant building?
 
Yes
 
No
 
Don't Know
 
 
 
Does your facility pay rent or does it own the physical facility?
 
Rent
 
Own
 
Don’t know
 
 
 
Are you responding on behalf of multiple similar facilities that are part of the same system?
 
Yes
 
No