We'd love to hear your thoughts about Premier Telemed and how we can help better serve you. Please fill out the survey form below...thank you!
Please provide your contact info:
First Name: (required)
Last Name: (required)
Please tell us how you found out about Premier Telemed:
---Family / FriendInternet SearchTelevisionRadioWorkplaceNewspaperEmailWebsiteDoctor ReferralOtherBillboardDirect Mailer
Do you have a regular family doctor?
If Premier Telemed was not here, where would you have gone for treatment? :
Have you previously used Premier Telemed?
How would you rate:
Overall quality of medical care?
Based on your recent appointment, how would you rate your PROVIDER
-Listens to you
-Takes Enough Time with you
-Explains your Plan of Care
-Satisfaction with your Plan of Care.
Clear communication and instructions during visit?
How would you rate your WAIT TIME
How would you rate the quality of your audio and video during the visit?
Was the cost of your visit reasonable?
How likely would you be to refer to friends & relatives?
Would you be willing to share your experience in Premier Telemed marketing initiatives?
What was the date of your visit?
We’d like to hear any comments you might have about your visit.
To improve our services and better serve our clients, we may wish to contact you regarding your feedback. What is your e-mail address? (Note that your e-mail address will only be used to contact you if appropriate and will not be used for any other purpose.) :