Compensation Questionnaire

May 1, 2012

Use this questionnaire to find out what your physicians think about your current physician compensation formulary.

To download this questionnaire, click here: Compensation Questionaire


PHYSICIAN QUESTIONNAIRE
Compensation Plan

Physician’s Name: ___________________________     Date _______________

1. How would you rate your medical practice’s distribution plan?

 Generous  Reasonable  Marginal  Unfair  Disastrous

1. How would you rate your level of compensation?

 Extremely over
compensated
 Basically fair  Over
compensated
 Under
compensated
 Extremely under
compensated

 

1. Do you understand the present income distribution plan?  Yes  No

2. How would you rate the level of complexity of your existing income distribution plan?

 Extremely
complex
 Complex  Moderate  Simple  Very simple

 

5. Do you feel that your income distribution or compensation plan is adequately achieving its goals?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

6. What do you like most about your existing plan?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

7. What do you like least about your existing plan?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

8. What would you recommend as a change to the existing income distribution or compensation plan?
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________


To download this questionnaire, click here: Compensation Questionaire

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