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.

Question Title

* 3. How would you rate the ability to make a timely appointment with your surgeon ?

Question Title

* 4. How would you rate the amount of time you spent in the waiting room?

Question Title

* 5. How would you rate the amount of time you spent in the exam room?

Question Title

* 6. How well did your Premier Surgical Physician explain your procedure and answer your questions?

Question Title

* 7. If you had surgery or a procedure, did you receive education material via handout or email?

Question Title

* 8. How would you rate the courtesy and professionalism of the Premier Surgical nursing staff you encountered?

Question Title

* 9. How would you rate the courtesy and professionalism of the Premier Surgical office personnel you encountered?

Question Title

* 10. If you had an Ultrasound exam at a Premier Surgical office, how do you rate the courtesy and professionalism of the Ultrasound Technologist?

Question Title

* 11. If you worked with a Premier Billing Office staff member, how would you rate their courtesy and professionalism?

Question Title

* 12. How would you rate the cleanliness and comfort of the Premier Surgical office you visited?

Question Title

* 13. Overall, how would you rate your experience with the Premier Surgical office you visited?

Question Title

* 14. Would you recommend Premier Surgical to your family or friends?

Question Title

* 15. What could we have done better to improve your experience with Premier Surgical?

Question Title

* 16. If you had an unpleasant experience and would like a call from a Premier Surgical Manager, please list your phone number.

Question Title

* 17. If there was a Premier Surgical physician or staff member who left a positive impression on you, please tell us about it.

Question Title

* 18. Please enter your email if you would like to be entered in the quarterly drawing for a $100 VISA gift card.

Page1 / 1
 
100% of survey complete.

T