Bill Picon NPS Customer Survey

Thanks for agreeing to share with us your opinion of Dr. Bill Picon.

You can complete this survey with just a few clicks, or if you'd like to leave comments you can also do that.

* How satisfied are overall experience with Dr. Bill Picon?

Very Satisfied

Somewhat Satisfied

Somewhat Unsatisfied

Very Unsatisfied

(Optional) Comments/Suggestions:

May staff from Dr. Bill Picon contact you to find out why your experience was not satisfactory?

Yes

No

Please provide contact information.

* First Name :

* Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

* Considering your total experience with Dr. Bill Picon, how likely are you to recommend Dr. Bill Picon to a friend or colleague?

«Very Unlikely						Very Likely»
0	1	2	3	4	5	6	7	8	9	10

What could we have done to improve your experience with Dr. Bill Picon so that you would give a 9 or 10 rating in the previous question?

Would you be willing to share your Dr. Bill Picon experience with others by writing a review on a review site? We can provide a link that takes you to just the right place to write a review for Dr. Bill Picon, to make it as easy as possible for you.

Yes

No

Thank you for agreeing to write a review on your experience with Dr. Bill Picon.

People today read reviews on review sites before they choose providers, so a positive review from you can be important to Dr. Bill Picon. Please click here to write a review of Dr. Bill Picon. Please provide a short narrative in addition to clicking the stars, to provide more information for others who are reading the reviews.

Thanks again for participating in our survey!