2018 Patient Survey
Dear Patient, Thank you for choosing Premier Surgical. By filling out this brief survey, you help us provide better customer service. Upon completion, please provide your email to be entered in our quarterly drawing for a $100 VISA gift card.
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1.
Which Premier Surgical physician did you see?
(Required.)
Dr. Donald Akers, Jr.
Dr. Stephen Boyce
Dr. Joel "Trey" Bradley, III
Dr. Scott Callicutt
Dr. Willard Campbell
Dr. Mark Colquitt
Dr. Norma Edwards
Dr. Brian Garber
Dr. William Gibson
Dr. David Harrell
Dr. Michael Kelly
Dr. Troy Kimsey
Dr. Michael Kropilak
Dr. Jose Mejia
Dr. Gregory Midis
Dr. Stone Mitchell
Dr. Deanna Nelson
Dr. Christopher Pollock
Dr. George Pliagas
Dr. Jonathan Ray
Dr. Joe Thurman
Dr. Jessica Vinsant
Dr. Roland Weast
Dr. Kristopher Williams
Dr. Robert Williams
Dr. Afshin Andrew Skibba
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2.
Which Premier Surgical office did you visit?
(Required.)
Fort Sanders
Foothills Weight Loss Specialists at Fort Sanders
Parkwest
Papermill - Surgical Services (1st floor)
Papermill - Vascular Services (2nd floor)
New Life Center for Bariatric Surgery at Turkey Creek
Tennova North Knoxville
3.
How would you rate the ability to make a timely appointment with your surgeon ?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Please explain a score of Fair or Poor
4.
How would you rate the amount of time you spent in the waiting room?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
5.
How would you rate the amount of time you spent in the exam room?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
6.
How well did your Premier Surgical Physician explain your procedure and answer your questions?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Comments & Suggestions?
7.
If you had surgery or a procedure, did you receive education material via handout or email?
Yes
No
8.
How would you rate the courtesy and professionalism of the Premier Surgical nursing staff you encountered?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Comments or suggestions?
9.
How would you rate the courtesy and professionalism of the Premier Surgical office personnel you encountered?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Comments or suggestions?
10.
If you had an Ultrasound exam at a Premier Surgical office, how do you rate the courtesy and professionalism of the Ultrasound Technologist?
Excellent
Good
Fair
Poor
N/A
Excellent
Good
Fair
Poor
N/A
Ultrasound Comments or Suggestions?
11.
If you worked with a Premier Billing Office staff member, how would you rate their courtesy and professionalism?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
Premier Billing Office comments or suggestions?
12.
How would you rate the cleanliness and comfort of the Premier Surgical office you visited?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
13.
Overall, how would you rate your experience with the Premier Surgical office you visited?
Excellent
Good
Fair
Poor
Excellent
Good
Fair
Poor
14.
Would you recommend Premier Surgical to your family or friends?
Yes
No
15.
What could we have done better to improve your experience with Premier Surgical?
16.
If you had an unpleasant experience and would like to share your concerns with a Premier Surgical Manager, please list your phone number so we may contact you.
17.
If there was a Premier Surgical physician or staff member who left a positive impression on you, please tell us about it.
18.
Please enter your email if you would like to be entered in the quarterly drawing for a $100 VISA gift card.
