PHYSICIAN QUESTIONNAIRE

Compensation Plan

Physician’s Name:  ___________________________ 

Date _______________

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

– Generous       

– Reasonable    

– Marginal        

– Unfair           

– Disastrous

2.      How would you rate your level of compensation?

– Extremely over compensated

– Over compensated

– Basically fair

– Under compensated

– Extremely under compensated

3.      Do you understand the present income distribution plan? 

     –  Yes    –  No

4.     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? If No, please explain.

     –  Yes    –  No

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?