Patient Satisfaction Survey

Thank you for choosing the Aesthetic Medicine for your cosmetic procedure.  We hope your experience was a positive one and that you are well on your way to recovery.

Your comments and suggestions are very important to us.  Please assist us in continuing to provide the best care possible by completing this short survey and mailing it back to us in the postage-paid envelope.  Thank you for helping us to improve the services we provide to our patients and their families.
Please click that number that best describes the quality of your experience at Aesthetic Medicine.
1.Reception and registration process
Poor
Inadequate
Fair
Good
Excellent
N/A
2.Pre-operative telephone call or visit
Poor
Inadequate
Fair
Good
Excellent
N/A
3.Care provided by the center’s staff before your service
Poor
Inadequate
Fair
Good
Excellent
N/A
4.Interaction with the clinical staff
Poor
Inadequate
Fair
Good
Excellent
N/A
5.Interaction with the support staff during treatment
Poor
Inadequate
Fair
Good
Excellent
N/A
6.Care provided by the recovery room staff
Poor
Inadequate
Fair
Good
Excellent
N/A
7.Protection of your privacy
Poor
Inadequate
Fair
Good
Excellent
N/A
8.Cleanliness and appearance of the center
Poor
Inadequate
Fair
Good
Excellent
N/A
9.Your overall confidence level in the care provided to you by the staff
Poor
Inadequate
Fair
Good
Excellent
N/A
10.Overall Aesthetic Medicine  experience
Poor
Inadequate
Fair
Good
Excellent
N/A
11.Would you recommend the Center to family members or friends?
12.Did you receive any after-care instructions?
13.Were the instructions clear?
14.What did you like best about your experience at Aesthetic Medicine?
15.What did you like least about your experience at Aesthetic Medicine?
16.Do you have any other comments or questions?