{"id":2673,"date":"2023-07-08T15:40:57","date_gmt":"2023-07-08T15:40:57","guid":{"rendered":"https:\/\/ycardiology.com\/?page_id=2673"},"modified":"2023-07-09T13:59:56","modified_gmt":"2023-07-09T13:59:56","slug":"satisfaction-survey","status":"publish","type":"page","link":"https:\/\/ycardiology.com\/satisfaction-survey\/","title":{"rendered":"Satisfaction Survey"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2673\" class=\"elementor elementor-2673\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a39901d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a39901d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2a26d61\" data-id=\"2a26d61\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ff8740f elementor-widget elementor-widget-heading\" data-id=\"ff8740f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-xxl\">Please take a minute to complete our Healthcare <br> Provider Satisfaction Survey\n<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-20f006c elementor-widget elementor-widget-text-editor\" data-id=\"20f006c\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\tYour satisfaction with our services is very important to us, and your feedback\u00a0\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-16ed221 elementor-widget elementor-widget-text-editor\" data-id=\"16ed221\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\twill help ensure we\u2019re providing your patients the highest standard of patient care.\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-13bc328 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"13bc328\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e54c2cb\" data-id=\"e54c2cb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-939d7ac elementor-button-align-start elementor-widget__width-initial elementor-widget elementor-widget-form\" data-id=\"939d7ac\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;step_type&quot;:&quot;progress_bar&quot;,&quot;button_width&quot;:&quot;100&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Appointment\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"2673\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"939d7ac\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-fname elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fname\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tFirst Name*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[fname]\" id=\"form-field-fname\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-lastNAME elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-lastNAME\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast Name*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[lastNAME]\" id=\"form-field-lastNAME\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-CPSO elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-CPSO\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCPSO\/CNO\/Member Number*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[CPSO]\" id=\"form-field-CPSO\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-satisfied elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-satisfied\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t1. Are you satisfied with the way the appointments are arranged?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-satisfied-0\" name=\"form_fields[satisfied]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-satisfied-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-satisfied-1\" name=\"form_fields[satisfied]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-satisfied-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-phonecalles elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-phonecalles\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t2. Are your phone calls attended to promptly and courteously?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-phonecalles-0\" name=\"form_fields[phonecalles]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-phonecalles-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-phonecalles-1\" name=\"form_fields[phonecalles]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-phonecalles-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-easy elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-easy\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t3. Is the requisition easy to follow?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-easy-0\" name=\"form_fields[easy]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-easy-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-easy-1\" name=\"form_fields[easy]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-easy-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-reports elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-reports\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t4. Are the reports concise and comprehensive?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-reports-0\" name=\"form_fields[reports]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-reports-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-reports-1\" name=\"form_fields[reports]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-reports-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-timely elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-timely\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t5. Are the reports received in a timely manner?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-timely-0\" name=\"form_fields[timely]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-timely-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-timely-1\" name=\"form_fields[timely]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-timely-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-office elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-office\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t6. Do you find our locations and office hours to be convenient?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-office-0\" name=\"form_fields[office]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-office-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-office-1\" name=\"form_fields[office]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-office-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-expectations elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-expectations\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t7. Overall, have we met or exceeded your expectations?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-expectations-0\" name=\"form_fields[expectations]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-expectations-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-expectations-1\" name=\"form_fields[expectations]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-expectations-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-overall elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-overall\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t8. Would you recommend Yorkview Cardiology to a colleague?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-overall-0\" name=\"form_fields[overall]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-overall-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-overall-1\" name=\"form_fields[overall]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-overall-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-myhealth elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-myhealth\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t9. How likely will you continue referring your patients to Yorkview Cardiology?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Most Likely\" id=\"form-field-myhealth-0\" name=\"form_fields[myhealth]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-myhealth-0\">Most Likely<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Possibly\" id=\"form-field-myhealth-1\" name=\"form_fields[myhealth]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-myhealth-1\">Possibly<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Unsure\" id=\"form-field-myhealth-2\" name=\"form_fields[myhealth]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-myhealth-2\">Unsure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Not Likely\" id=\"form-field-myhealth-3\" name=\"form_fields[myhealth]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-myhealth-3\">Not Likely<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-EMR elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-EMR\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t10. Which EMR do you work with?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Most Likely\" id=\"form-field-EMR-0\" name=\"form_fields[EMR][]\"> <label for=\"form-field-EMR-0\">Most Likely<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Possibly\" id=\"form-field-EMR-1\" name=\"form_fields[EMR][]\"> <label for=\"form-field-EMR-1\">Possibly<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Unsure\" id=\"form-field-EMR-2\" name=\"form_fields[EMR][]\"> <label for=\"form-field-EMR-2\">Unsure<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Not Likely\" id=\"form-field-EMR-3\" name=\"form_fields[EMR][]\"> <label for=\"form-field-EMR-3\">Not Likely<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-refer elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-refer\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t11. How did you refer your patient(s) to us?*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Referral Pad\" id=\"form-field-refer-0\" name=\"form_fields[refer][]\"> <label for=\"form-field-refer-0\">Referral Pad<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"EMR\" id=\"form-field-refer-1\" name=\"form_fields[refer][]\"> <label for=\"form-field-refer-1\">EMR<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Fax\" id=\"form-field-refer-2\" name=\"form_fields[refer][]\"> <label for=\"form-field-refer-2\">Fax<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Email\" id=\"form-field-refer-3\" name=\"form_fields[refer][]\"> <label for=\"form-field-refer-3\">Email<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Ocean eReferral\" id=\"form-field-refer-4\" name=\"form_fields[refer][]\"> <label for=\"form-field-refer-4\">Ocean eReferral<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-center elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-center\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t12. How did you hear about Yorkview Cardiology? (Select all that apply)*\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Driving or Walking By\" id=\"form-field-center-0\" name=\"form_fields[center][]\"> <label for=\"form-field-center-0\">Driving or Walking By<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Email\" id=\"form-field-center-1\" name=\"form_fields[center][]\"> <label for=\"form-field-center-1\">Email<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Fax\" id=\"form-field-center-2\" name=\"form_fields[center][]\"> <label for=\"form-field-center-2\">Fax<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Google Search\" id=\"form-field-center-3\" name=\"form_fields[center][]\"> <label for=\"form-field-center-3\">Google Search<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Letter\" id=\"form-field-center-4\" name=\"form_fields[center][]\"> <label for=\"form-field-center-4\">Letter<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Other Healthcare Provider\" id=\"form-field-center-5\" name=\"form_fields[center][]\"> <label for=\"form-field-center-5\">Other Healthcare Provider<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Patient\" id=\"form-field-center-6\" name=\"form_fields[center][]\"> <label for=\"form-field-center-6\">Patient<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Representative from Yorkview Cardiology\" id=\"form-field-center-7\" name=\"form_fields[center][]\"> <label for=\"form-field-center-7\">Representative from Yorkview Cardiology<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Requisition Form\" id=\"form-field-center-8\" name=\"form_fields[center][]\"> <label for=\"form-field-center-8\">Requisition Form<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Social Media\" id=\"form-field-center-9\" name=\"form_fields[center][]\"> <label for=\"form-field-center-9\">Social Media<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-msg elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-msg\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAdditional Comments or Suggestions on How We Can Improve:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[msg]\" id=\"form-field-msg\" rows=\"4\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-birthdaydatexx0 elementor-col-60 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-birthdaydatexx0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPermission to Use as a Promotional Material\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[birthdaydatexx0]\" id=\"form-field-birthdaydatexx0\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\">\n\t\t\t\t<label for=\"form-field-birthdaydatexx0\">I give Yorkview Cardiology permission to post my comments on promotional materials.\n\nBy submitting this form, I agree to receive periodic E-mails about your free CME webinars, and the latest information about your services. I can unsubscribe at any time.\n<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button type=\"submit\" class=\"elementor-button elementor-size-md\">\n\t\t\t\t\t\t<span >\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\" elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please take a minute to complete our Healthcare Provider Satisfaction Survey Your satisfaction with our services is very important to us, and your feedback\u00a0will help ensure we\u2019re providing your patients the highest standard of patient care.<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-2673","page","type-page","status-publish","hentry"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages\/2673"}],"collection":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/comments?post=2673"}],"version-history":[{"count":148,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages\/2673\/revisions"}],"predecessor-version":[{"id":2831,"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/pages\/2673\/revisions\/2831"}],"wp:attachment":[{"href":"https:\/\/ycardiology.com\/wp-json\/wp\/v2\/media?parent=2673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}