Doctor List Survey - Road Back Foundation

Antibiotic Protocol Doctor Survey

How did you hear about the Road Back Foundation?*

Are you currently taking antibiotic protocol for rheumatic illness?*

Diagnosis?*

Other - Please input diagnosis*

Did you try to use the RBF doctor’s list?*

Did you get your practitioner from RBF’s doctor list online application?*

Please submit doctor's name and current contact information*

Were there any difficulties or outdated information in the RBF's doctor list?*

Please list any difficulties or outdated information found.

Please share any difficulties, outdated information or concerns.

If you are not taking AP, has the doctor list been a barrier to you not doing so?*

Feedback?

If you are taking AP, but not from a practitioner listed on the Road Back Foundation list, do you think they would be interested and/or willing to share their information with our RBF doctors list? If so, please provide your practitioner’s contact information.

Did you use any of RBF’s information packets, etc. to give to your practitioner?*

Which of RBF's informational packets were shared?

May we email you follow up questions about this survey?*

Email

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