Patient Feedback Survey

The providers, staff, and management of Premier Pain Treatment Institute are dedicated to providing the best care to all of our patients.

The purpose of this questionnaire is to provide our team with information about our work through the eyes of our patients, with the intention of furthering our development through these responses.

Your participation in this survey is completely voluntary. 

We ask that you complete this questionnaire based on your most recent appointment.

Please enable JavaScript in your browser to complete this form.
Are you filling out this questionnaire for:
How long have you been a patient at PPTI?
Which provider did you see at your most recent appointment?
Before your appointment, did you pre-register for your appointment through our online Patient Portal?
If you pre-registered for your appointment through our online Patient Portal, how satisfied were you with the experience?
Are you satisfied are you with the ease of scheduling appointments?
Rate your overall satisfaction with the waiting time at our practice.
Were you seen by your provider in a timely fashion?
How satisfied are you with your interactions with our front desk staff?
How satisfied are you with your interactions with our medical assistant staff?
How satisfied are you with your interactions with our lab staff?
How good was your doctor or medical provider at being polite?
How good was your doctor or medical provider at putting you at ease?
How good was your doctor or medical provider at listening to you?
How good was your doctor or medical provider at assessing your condition?
How good was your doctor or medical provider at explaining your treatment?
How good was your doctor or medical provider at involving you in decision about your treatment?

Thank you for taking the time to share your feedback with our management team. We look forward to continuing to provide you with excellent care, and will strive to use your feedback to improve the experience for you and other patients moving forward.

If you’d like to share your experience with others by leaving a Google review, please visit our Locations page to select the location of your last appointment. You’ll be redirected to our Google Business Page where you can leave a review.

We also encourage you to follow us on social media! Our social media accounts can be found at the bottom of this page, where you can stay updated on all that Premier Pain Treatment Institute has to offer!