NAME, MA Reference Request

    NAME, MA has interviewed for a phone triage nursing position with Premier Family Medicine. She has listed you as a professional reference. Please complete this quick (25 questions), confidential, web-based survey regarding her skills. When completing the survey, if you cannot answer a question based upon your direct experience working with her, please make sure to click the "N/O" (Not Observed) option instead of selecting a number on the 1-7 rating scale.

    Tell us about Yourself
    Before you take the survey, please take a moment to provide some information about yourself. 
    How do you know the candidate
    To Answer Questions:
    Please answer each question throughout the survey by clicking on the appropriate button beside the number that best describes the extent to which you believe this individual uses these skills, compared to others in the workplace.

    As You Read Each Item, Please Keep In Mind:
    The scale below is on a continuum of 1-7, where a "1" indicates that compared to others in the workplace, the candidate never uses the skill under any circumstances. A "7" indicates that compared to others in the workplace, candidate always uses the skill under all circumstances. If you cannot answer a specific question based on your own experience or observation of the candidate, click the "N/O" (Not Observed) option.