Patient Satisfaction Survey

1. Palm Harbor Plastic Surgery Centre Patient Satisfaction Questionnaire

20% of survey complete.

Dear Patient:

Now that your procedure is over and you are on to healing, we would like to ask you a few questions. Have you been waiting to tell us what you think? We'd love to know! Will you please help us improve our patient care by completing this anonymous questionnaire? We welcome your comments.

Question Title

* 1. Office Staff and Procedures:
In your initial contact by phone, were our receptionists (front desk staff):
courteous?

Yes

Question Title

* 2. Were our receptionists helpful (answer your questions)?

Yes

Question Title

* 3. When you came into our office for a consultation--Did the waiting time seem reasonable to you?

Yes

Question Title

* 4. What was your source of referral to our practice? You can be specific and include names if you wish.

Family/Friend

Physician

Our website (BodyReshaping.com)

Google or other search engine

Social Media (Facebook, Twitter, Instagram)

Walk-in

Our in office event

Billboard on US 19

TV or radio

Other (be specific)

Question Title

* 1. Office Staff and Procedures:In your initial contact by phone, were our receptionists (front desk staff):courteous?

Question Title

* 2. Were our receptionists helpful (answer your questions)?

Question Title

* 3. When you came into our office for a consultation--Did the waiting time seem reasonable to you?

Question Title

* 4. What was your source of referral to our practice? You can be specific and include names if you wish.

* 1. Office Staff and Procedures:
In your initial contact by phone, were our receptionists (front desk staff):
courteous?