* 1. What is your age?

* 2. Are you male or female?

* 3. How likely is it that you would recommend Neurosurgical Associates of Nebraska to a friend or colleague?

Not at all likely
Extremely likely

* 4. How professional is our staff?

* 5. How much money, in U.S. dollars, do you spend on healthcare in a typical month? (Count all healthcare-related costs, including health insurance premiums, deductibles, copays, co-insurance fees, and any other out-of-pocket expenses for medical, dental, or vision services and medications.)

* 6. Do you currently have health insurance, or not?

* 7. What changes would most improve Neurosurgical Associates of Nebraska?