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Name
*
Medical Registration Number
*
Number of Years of Experience
What is the size of your team
Email Address
*
Phone
*
Number of Patients You See every Day
New Patients you see every day
What is your Monthly Budget for :
Workflow Software
*
Workflow Software with AI Enabled Bot
*
What is the level of digitization at your practice? Please select it across the spectrum:
High
Medium
Low
None
High- All Patient data is Captured
All Data is readily Accessible
All Data is AI Ready
All Data is Structured
None -
All Patient data is Not adequately Captured
Data is not readily Accessible
All Data is not structured
AlI Data is not AI Ready
Do you have a dedicated person for Data Entry? (Yes / No)
*
Yes
No
How to you manage your clinical workflow currently?
Proprietary Software
Excel
Paper Based
How interested are you to conduct research on your data?
Very Interested
Interested
Not Interested
How do you collect data for your research?
HIS
OIS
EMR
All
How long does it take you to collect this data for Research or Analytics or Root cause Analysis?
Minutes
Hours
Days
Months
How frequently do you analyse your data for research and publication?
Frequently
Rarely
Never
How frequently do you follow up with your patients in terms of adherence to treatment regime?
Frequently
Rarely
Never
How do you connect with your patient post treatement regime?
*
Phone
Whatsapp
Do Not Connect
How does your patient connect to you during distress/ discomfort?
*
Phone
Whatsapp
Visit
Do Not Connect
Do you have a dedicated solution that enables the connection with the patient?
Yes
No
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