Dear Patient, Thank you for choosing Premier Surgical Cleveland. By filling out this brief survey, you help us provide better customer service.

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* 1. Which Premier Surgical Cleveland physician did you see?

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

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

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

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

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* 6. Did you have a surgery or  procedure? If No, please skip to Question 10.

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* 7. If you had surgery or a procedure, did you receive educational material about the procedure before your surgery?

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* 8. If you had surgery or a procedure, did you receive Pre-op or Discharge instructions?

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

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

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* 11. Did you contact the Premier Surgical Billing Office about a billing or insurance issue?  If NO, please skip to Question 12.

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* 12. If you DID talk to a staff member in the Premier Surgical Billing Office, how would you rate their courtesy and professionalism?

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* 13. How would you rate the cleanliness and comfort of the Premier Surgical Cleveland office?

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

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

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

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

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* 18. If you would like to be entered in our $100 VISA gift card drawing, please submit your email.

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