Onboarding Questionnaire

Thank you for taking the time to fill out Piedmont’s marketing questionnaire so that we can find out more about you and what makes you unique. As you know, marketing plays a vital role in our efforts to fill up your office, so we appreciate you putting the appropriate amount of time and thought into these questions as we get to know more about you. This information will be used to create your doctor’s bio, feature articles, social media posts and for when we need subject matter experts. Some of the questions may seem silly or odd, but we assure you that there’s a reason for all our inquiries. The more detailed you are, the more you equip us to market you in relevant ways to potential patients.

 
Name  *Office Location What are your specialties? If applicable, how do you tell people to pronounce your name? Where did you graduate from?  *Medical degree, residency and/or fellowship (if applicable) Please share any board certifications you have earned or professional organizations that you belong to. What services or procedures will you be/are you offering at Piedmont? Please tell us about your previous career experience before joining Piedmont (if applicable) What made you decide to pursue a life in medicine?  *When did you know that medicine was the right life path for you?  *Tell us about your most interesting, most challenging, or most humorous days you experienced in medical school.  *What aspect of medicine and care interests you most and why?  *Who has been the most influential person in your life and why?  *What do you enjoy most about seeing patients every day?  *What’s your philosophy when it comes to providing the best possible care and attention to your patients?  *What sets you apart as a physician? Why would/should a potential patient choose to see you?  *Outside of medicine, what talents do you have? What hobbies keep you busy? What are your interests?  *What’s the best television show you’ve seen lately and why?  *What are your favorite sports teams and how did you come to your allegiances?  *What do you wish more people would know about doctors?  *If a film was made about your life, which actor or actress would play you and why?  *Is there anything else you think we should know about you that makes you unique, sets you apart, or makes for an interesting story?  *If you’d like to include a photo that shows off your personality, interests, talents, or just more about you, please upload it below. We may use the photo in a social media post about your answers to this questionnaire. Upload A Photo