the FPM survey of family physicians who have changed EHR systems.

Tell us about yourself and your practice. Your name: __________________________________________________________________________________ Your seven-digit AAFP membership number: _____ _____ _____ _____ _____ _____ _____ Your practice type:  Hospital, health system, or university owned  Government owned  Federally qualified health center  Physician owned  Other: __________________________________________________________________________ Practice size (entire organization):  Solo physician  2-3 physicians  4-9 physicians  10-25 physicians  26-99 physicians  100+ physicians How many ambulatory EHRs have you ever personally used for at least 3 months?  1  2  3  4  5 or more (If you answered 1, do not complete the rest of this survey.) Did your practice change EHRs after Jan. 1, 2010?  Yes  No (If you answered No, do not complete the rest of this survey.)