Dear Patient, Thank you for choosing Premier Surgical. By filling out this brief survey, you help us provide better customer service. Upon completion, you will be entered into a drawing for a $100 VISA gift card.

* 3. How would you rate the ability to make an appointment?

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

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

* 6. Overall, how would you rate the service you received from our Premier Surgical nursing and office staff?

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

* 8. If you worked with our Central Billing Office, how would you rate that service?

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

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

* 11. Is there anything we could have done to improve your experience with Premier Surgical?

* 12. If you had an unpleasant experience and would like to share your concerns with a Premier Surgical Administrator, please list your phone number so we may contact you.

* 13. Please name a Premier Surgical physician or staff member who left a positive impression on you.

* 14. For notification if you are selected as the $100 VISA gift card winner, please enter your email.

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100% of survey complete.

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