Welcome to Dr. Forsythe.com

1. Have you recently (6 months or less) consulted a cancer doctor?	Yes No
2. Are you presently going through cancer treatment?	Yes No
3. If Yes, what procedures have you or are you about to undergo? (Check all that apply) Surgery Chemotherapy Radiation Alternative Treatments (please explain): Other (please explain):
4. Were you, or are you, satisfied with the care received?	Yes Somewhat No Not at All
5. Please list in order of importance (1=most important) the FIVE most important factors you consider when selecting a cancer doctor: Reputation Clinic Hours Price or Cost of Procedures Location of Office Word-of-Mouth Comments Office Staff Cleanliness of Office Convenience to Home Doctor Insurance Plan Provider Expertise Advertisements Board certification of Doctor Discounts or Promotions Other (please explain):
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