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* 1. How professional was the staff at Williams Plastic Surgery?

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* 2. Please rate the personal interest shown to you by personnel.

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* 3. If you scheduled your consultation via telephone, were we able to answer all questions asked during the initial phone call?

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* 4. How thorough were the procedure descriptions you received?

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* 5. How well were your financial quote and payment options, including financing, explained?

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* 6. How comfortable did you find the facility? Please consider lighting, furnishings and temperature in waiting area, exam rooms and consult rooms.

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* 7. Please rate your overall experience at Williams Plastic Surgery.

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* 8. What did you like most about your consultation experience?

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* 9. What did you like least about your consultation experience? How can we improve it for future patients?

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* 10. Please list any general comments, suggestions, or employees who provided exceptional service:

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