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Sterling Management Systems
DELIVERING PERFORMANCE TO YOUR PRACTICE
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Free Sterling Quality Control Analysis

How are we doing?

Name: 
Title: 
Specialty:  # of Staff:
E-mail: 
Address: 
City:     State:  Zip:
Office Phone: 
Home Phone:  (optional)
How did you hear about us?

+  (Plus) means I AGREE, YES or MOSTLY YES
M  (Middle) means UNCERTAIN, MAYBE, NEITHER YES nor NO
-  (Minus) means I DISAGREE, NO or MOSTLY NO

1.  I have a regular check on the quality of our service.
+ M –
2. I use patient complaints, as a means to improve the practice.
+ M –
3.  My staff know they're good, I don't need to praise them.
+ M –
4. My practice has no call for "correction programs."
+ M –
5. We keep and use the staff suggestion box (or a similar system).
+ M –
6. Our staff training system is an on-going affair.
+ M –
7. I have several people in training at this time to take over positions senior to those they now hold.
+ M –
8. We get along very nicely without any staff training.
+ M –
9. We apply the principle of quality control to our entire organization.
+ M –
10. I have a statistic which measures the effectiveness of our Quality Control.
+ M –

Once we have received your answers, a service consultant will contact you within24- 48 hours, Mon.-Fri., with your test results.