CPO Price Estimate Survey Centralized Pricing Office Estimate Survey Please complete the following survey at your earliest convenience. Your responses are greatly appreciated. Question Title * 1. Overall, how would you rate the service you received from the staff at this office? Excellent Very good Good Fair Poor Question Title * 2. How satisfied or dissatisfied were you with the amount of time Community's Centralized Pricing Representative spent with you addressing your needs? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 3. Were the details of the estimate clearly communicated with you? Yes No Question Title * 4. What can we do better to provide a more accurate estimate and meet your needs? Question Title * 5. What was the name of representative you spoke with? Question Title * 6. Would you recommend Community's Estimate Pricing feature to a friend or family member? Yes No Question Title * 7. Who did you speak with? Centralized Pricing Office Scheduling/Pre Reg VEI Surgery Customer Service Question Title * 8. Address Name Email Address Phone Number Done