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