Dear Patient, Thank you for choosing Premier Surgical. Please help us continue to improve by filling out this brief survey about your experience. If you'd like to be entered in our regular drawing for a $100 VISA gift card, please enter your email upon completion.

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

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

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

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

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

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

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

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

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

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* 12. If you had an Ultrasound exam at a Premier Surgical office (not the hospital), how do you rate the courtesy and professionalism of the Premier Ultrasound Tech?

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* 13. Did you contact the Premier Surgical Billing Office about a billing or insurance issue? If NO, please skip to Question 14.

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* 14. If you DID talk to the Premier Surgical Billing Office, how would you rate the courtesy and professionalism of the Billing staff member?

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

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

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

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

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

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

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