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Please provide as much details as you can, if you need immediate help you or if you have any questions please call Premier Nursing Services, Inc. at (800) 225-1992, 24 hours a day, 7 days a week. 
First Name 
Last Name 
Employee Number
Email Address 
Phone Number 
Hospital Name
Address
 

Please describe the problem (Please provide detailed information)

On a scale from 1 to 5, 5 being the best, how would you rate Premier Nursing Services in general on the following categories:

1. Accuracy of your paycheck 
2. Satisfaction with your assignment 
3. Courtesy and professionalism of office staff 
4. Friendliness of office staff
5. Follow-up on concerns or complaints
6. Phone calls answered promptly